CARLOS SANCHEZ MD
NPI 1164490256
Emergency Medicine in Freeport, IL

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
86.72/100
CMS Quality Rating
1045 W STEPHENSON ST, FREEPORT, IL 61032(815) 599-6000 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlos Sanchez Md NPPES

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

CARLOS SANCHEZ MD (NPI 1164490256) is an individual emergency medicine provider in Freeport, Illinois, licensed in Illinois (036-065681) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1164490256
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARLOS SANCHEZCredential: MD
Location Address1045 W STEPHENSON STFreeport, IL 61032-4864
Mailing Address1045 W Stephenson St, Po Box 857Freeport, IL 61032-4864
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateMarch 14, 2006
Last NPPES UpdateNovember 2, 2017
NPI 1164490256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 036-065681
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1045 W STEPHENSON ST, Freeport, IL 61032

Other Identifiers 3

Medicare UPINE64549IL
Medicaid036065381IL
Medicare ID-Type UnspecifiedL83413IL

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

Carlos Sanchez Md 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 ID244217677
PECOS Enrollment IDI20100327000343
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
103 services96 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services53 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61032 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

86.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.48
Improvement Activities40
Cost64.04

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.

Legal Medicine
1045 W STEPHENSON ST
FREEPORT, IL 61032
Hospice Care, Community Based
1045 W STEPHENSON ST
FREEPORT, IL 61032
Dietitian, Registered
1045 W STEPHENSON ST, 3015-NUTRITION EDUCATION OFFICE
FREEPORT, IL 61032
Occupational Therapist
1045 W STEPHENSON ST
FREEPORT, IL 61032
Emergency Medicine
1045 W STEPHENSON ST
FREEPORT, IL 61032
Physical Therapy Assistant
1045 W STEPHENSON ST
FREEPORT, IL 61032
Speech-Language Pathologist
1045 W STEPHENSON ST
FREEPORT, IL 61032
Nurse Practitioner
1045 W STEPHENSON ST
FREEPORT, IL 61032

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 Carlos Sanchez's NPI number?

The NPI number for Carlos Sanchez is 1164490256. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Carlos Sanchez located?

Carlos Sanchez practices at 1045 W Stephenson St, Freeport, IL 61032. The listed phone number is (815) 599-6000.

What is Carlos Sanchez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlos Sanchez enrolled in Medicare?

Yes. Carlos 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.

Is Carlos Sanchez affiliated with any hospitals?

According to CMS data, Carlos Sanchez is affiliated with Fhn Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Sanchez was last updated on November 2, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.