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DR. EDGAR SANDOVAL M.D.
NPI 1093716771
Urology in Miami Beach, FL

Active since August 03, 2005PECOS Enrolled
301 W 41ST ST STE 406, MIAMI BEACH, FL 33140(305) 534-2986(305) 534-0462 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2022, Feb 2, 2022, Nov 13, 2019 (3 updates tracked since 2019).

About Dr. Edgar Sandoval M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDGAR SANDOVAL M.D. (NPI 1093716771) is an individual urology provider in Miami Beach, Florida, licensed in Florida (ME59750) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093716771
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. EDGAR SANDOVALCredential: M.D.
Location Address301 W 41ST ST STE 406Miami Beach, FL 33140-3647
Mailing Address301 W 41st St Ste 406Miami Beach, FL 33140-3647 · (305) 534-2986 · Fax (305) 534-0462
Phone(305) 534-2986
Fax(305) 534-0462
Sole ProprietorYes
Enumeration DateAugust 3, 2005
Last NPPES UpdateApril 13, 20223 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1093716771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME59750
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
301 W 41ST ST STE 406, Miami Beach, FL 33140
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edgar Sandoval M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
51%129 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims2,220 services$0.09 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,200 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers26 claims3,650 services$5.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Sandoval's NPI number?

The NPI number for Edgar Sandoval is 1093716771. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Edgar Sandoval located?

Edgar Sandoval practices at 301 W 41st St Ste 406, Miami Beach, FL 33140. The listed phone number is (305) 534-2986.

What is Edgar Sandoval's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Edgar Sandoval enrolled in Medicare?

Yes. Edgar Sandoval is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edgar Sandoval was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.