JAIME E SANCHEZ M.D.
NPI 1114126919
Colon & Rectal Surgery in Melbourne, FL

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
1223 GATEWAY DR, MELBOURNE, FL 32901(321) 407-7097(321) 600-2012 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2026, Apr 2, 2026, Jan 12, 2026 and 2 more (5 updates tracked since 2022).

About Jaime E Sanchez M.d. NPPES

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

JAIME E SANCHEZ M.D. (NPI 1114126919) is an individual colon & rectal surgery provider in Melbourne, Florida, licensed in Florida (ME108792) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1114126919
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJAIME E SANCHEZCredential: M.D.
Location Address1223 GATEWAY DRMelbourne, FL 32901-2607
Mailing Address3300 S Fiske Blvd Ste 503Rockledge, FL 32955-4306 · (321) 407-7097
Fax(321) 600-2012
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2005
Enumeration DateJuly 12, 2007
Last NPPES UpdateApril 8, 20265 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
NPI 1114126919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in FL · ME108792
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License ME108792 (FL)
1223 GATEWAY DR, Melbourne, FL 32901

Secondary Practice Location 1

Location 11130 Hickory St Ste BMelbourne, FL 32901-1973 · Phone (321) 407-7097 · Fax (321) 600-2012

Other Identifiers 3

Other14LH0FL · Blue Cross Blue Shield
Medicaid005977200FL
OtherWT190FL · Hfmg

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaime E Sanchez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678729894
PECOS Enrollment IDI20120803000356
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%33 patients2/55-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 7

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers16 claims230 services$2.42 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers14 claims430 services$8.30 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier24 claims930 services$5.66 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier13 claims810 services$1.56 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers23 claims890 services$3.45 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers20 claims1,125 services$0.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1223 GATEWAY DR
MELBOURNE, FL 32901
Nurse Practitioner
1223 GATEWAY DR
MELBOURNE, FL 32901
Audiologist
1223 GATEWAY DR
MELBOURNE, FL 32901
Surgery
1223 GATEWAY DR, SUITE 2B
MELBOURNE, FL 32901
Nurse Practitioner
1223 GATEWAY DR
MELBOURNE, FL 32901
Obstetrics & Gynecology
1223 GATEWAY DR
MELBOURNE, FL 32901
Nurse Practitioner
1223 GATEWAY DR
MELBOURNE, FL 32901
Nurse Practitioner (Family)
1223 GATEWAY DR
MELBOURNE, FL 32901

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 Jaime Sanchez's NPI number?

The NPI number for Jaime Sanchez is 1114126919. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Jaime Sanchez located?

Jaime Sanchez practices at 1223 Gateway Dr, Melbourne, FL 32901. The listed phone number is (321) 407-7097.

What is Jaime Sanchez's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jaime Sanchez enrolled in Medicare?

Yes. Jaime Sanchez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaime Sanchez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Jaime Sanchez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jaime Sanchez affiliated with any hospitals?

According to CMS data, Jaime Sanchez is affiliated with Holmes Regional Medical Center, Adventhealth North Pinellas and Florida Hospital Carrollwood.

When was this NPI record last updated?

The NPPES record for Jaime Sanchez was last updated on April 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.