KURT SANDINE MD
NPI 1164527206
Family Medicine in Lacey, WA
About Kurt Sandine Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KURT SANDINE MD (NPI 1164527206) is an individual family medicine provider in Lacey, Washington, licensed in Washington (MD00044314) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kurt Sandine 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kurt Sandine reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 646 clinicians in this Medicare group
Lacey, WA 98503
- Reassigned Medicare billing, Washington enrollment
- 77 clinicians in this Medicare group
Tumwater, WA 98501
- Reassigned Medicare billing, Washington enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LACEY, WA 98503
LACEY, WA 98503
OLYMPIA, WA 98503
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 Kurt Sandine's NPI number?
The NPI number for Kurt Sandine is 1164527206. It was assigned to this individual provider in the NPPES registry on September 13, 2006.
Where is Kurt Sandine located?
Kurt Sandine practices at 3928 Pacific Ave SE, Lacey, WA 98503. The listed phone number is (360) 455-1350.
What is Kurt Sandine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kurt Sandine enrolled in Medicare?
Yes. Kurt Sandine 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.
Which organizations bill Medicare for Kurt Sandine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kurt Sandine reassigns Medicare benefits to 3 organizations: Providence Health & Services Washington (Olympia, WA), Capital Medical Center Physicians LLC (Lacey, WA) and Tumwater Family Practice Clinic (Tumwater, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kurt Sandine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kurt Sandine accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kurt Sandine 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.
When was this NPI record last updated?
The NPPES record for Kurt Sandine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kurt Sandine, MD · NPI 1164527206
Family Medicine physician in Lacey, Washington. Individual provider, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1164527206 (Entity type: Individual)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00044314 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3928 PACIFIC AVE SE, Lacey, WA 98503-1109
- **Phone:** (360) 455-1350 · **Fax:** (360) 455-5354
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Washington (NPI 1174744304, Olympia, WA); Capital Medical Center Physicians LLC (NPI 1649037623, Lacey, WA); Tumwater Family Practice Clinic (NPI 1881638559, Tumwater, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN I26818
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Source: [NPI Profile](https://npiprofile.com/npi/1164527206) · Data from the CMS NPPES public registry.