AMY M SANDUSKY PA
NPI 1164508834
Physician Assistant in Gunnison, CO

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
38.28/100
CMS Quality Rating
112 W SPENCER AVE STE A, GUNNISON, CO 81230(970) 641-6788(970) 641-0288 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amy M Sandusky Pa NPPES

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

AMY M SANDUSKY PA (NPI 1164508834) is an individual physician assistant in Gunnison, Colorado and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1164508834
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY M SANDUSKYCredential: PA
Location Address112 W SPENCER AVE STE AGunnison, CO 81230-2546
Mailing Address2472 Patterson Rd Unit 8Grand Junction, CO 81505-1100 · (970) 241-0202 · Fax (970) 241-0250
Fax(970) 641-0288
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 27, 2006
Last NPPES UpdateJune 11, 2021
NPPES CertifiedJune 11, 2021
NPI 1164508834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License PA 2025 (CO)
112 W SPENCER AVE STE A, Gunnison, CO 81230

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

Amy M Sandusky Pa 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 ID7911931100
PECOS Enrollment IDI20050927000534
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 6

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 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.
64 services55 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.
26 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services18 patients
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.
19 services19 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
12 services11 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81230 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

38.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability98
Improvement Activities0
Cost45.96

Other Providers at the Same Location NPPES 3

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

Acupuncturist
112 W SPENCER AVE STE A
GUNNISON, CO 81230
Prosthetic/Orthotic Supplier
112 W SPENCER AVE STE A
GUNNISON, CO 81230
Orthopaedic Surgery
112 W SPENCER AVE STE A
GUNNISON, CO 81230

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 Amy Sandusky's NPI number?

The NPI number for Amy Sandusky is 1164508834. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Amy Sandusky located?

Amy Sandusky practices at 112 W Spencer Ave Ste A, Gunnison, CO 81230. The listed phone number is (970) 641-6788.

What is Amy Sandusky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Sandusky enrolled in Medicare?

Yes. Amy Sandusky 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.

When was this NPI record last updated?

The NPPES record for Amy Sandusky was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.