SACHIN H. PANCHAL M.D.
NPI 1114978699
Internal Medicine in Mount Pleasant, WI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3807 SPRING ST, MOUNT PLEASANT, WI 53405(262) 687-4011 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sachin H. Panchal M.d. NPPES

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

SACHIN H. PANCHAL M.D. (NPI 1114978699) is an individual internal medicine provider in Mount Pleasant, Wisconsin, licensed in Indiana (01062062A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2001).

NPPES Registry Identity

NPI1114978699
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSACHIN H. PANCHALCredential: M.D.
Location Address3807 SPRING STMount Pleasant, WI 53405-1667
Mailing Address3807 Spring StMount Pleasant, WI 53405-1667 · (262) 687-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
NPI 1114978699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01062062A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 01062062A (IN)
3807 SPRING ST, Mount Pleasant, WI 53405

Other Names 1

Other Name (5)Sachinkumar H Panchal

Other Identifiers 1

Medicaid35365900WI

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

Sachin H. Panchal 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 ID5698787711
PECOS Enrollment IDI20081027000748
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
550 services263 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
186 services186 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.
128 services95 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
23 services18 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
23 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers49 claims158 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers32 claims56 services$0.90 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers15 claims15 services$36.11 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$82.15 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims33 services$33.63 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims75 services$19.93 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.

Pediatrics
3807 SPRING ST
RACINE, WI 53405
Family Medicine
3807 SPRING ST
RACINE, WI 53405
Pediatrics
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Pharmacist
3807 SPRING ST
RACINE, WI 53405
Pharmacy (Community/Retail Pharmacy)
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Physician Assistant
3807 SPRING ST
RACINE, WI 53405
Pediatrics (Adolescent Medicine)
3807 SPRING ST
RACINE, WI 53405

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 Sachin Panchal's NPI number?

The NPI number for Sachin Panchal is 1114978699. It was assigned to this individual provider in the NPPES registry on May 12, 2006. The provider is also known as Sachinkumar H Panchal.

Where is Sachin Panchal located?

Sachin Panchal practices at 3807 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 687-4011.

What is Sachin Panchal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sachin Panchal enrolled in Medicare?

Yes. Sachin Panchal 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 Sachin Panchal accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Sachin Panchal 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 Sachin Panchal affiliated with any hospitals?

According to CMS data, Sachin Panchal is affiliated with Froedtert South Inc., Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Sachin Panchal was last updated on December 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.