DR. SANDRA L EVERETT M.D.
NPI 1174634976
Ophthalmology in Cheektowaga, NY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
4245 UNION RD, CHEEKTOWAGA, NY 14225(716) 839-0881 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sandra L Everett M.d. NPPES

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

DR. SANDRA L EVERETT M.D. (NPI 1174634976) is an individual ophthalmology provider in Cheektowaga, New York, licensed in New York (182462-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (1992).

NPPES Registry Identity

NPI1174634976
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SANDRA L EVERETTCredential: M.D.
Location Address4245 UNION RDCheektowaga, NY 14225
Mailing Address4245 Union Rd Ste 105Cheektowaga, NY 14225-5040 · (716) 634-4175 · Fax (716) 634-2679
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1992
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2018
NPI 1174634976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 182462-1
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4245 UNION RD, Cheektowaga, NY 14225

Other Identifiers 1

Medicaid01422742NY

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

Dr. Sandra L Everett 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 ID3577554385
PECOS Enrollment IDI20040520000882
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 13

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.
295 services226 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.
224 services116 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
131 services90 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
93 services71 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
57 services55 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14225 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.77
Promoting Interoperability98
Improvement Activities40
Cost42.82

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.

Dentist
4245 UNION RD
CHEEKTOWAGA, NY 14225
Ophthalmology
4245 UNION RD, SUITE 105
CHEEKTOWAGA, NY 14225
Eyewear Supplier
4245 UNION RD, 1ST FLOOR
CHEEKTOWAGA, NY 14225

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 Sandra Everett's NPI number?

The NPI number for Sandra Everett is 1174634976. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Sandra Everett located?

Sandra Everett practices at 4245 Union Rd, Cheektowaga, NY 14225. The listed phone number is (716) 839-0881.

What is Sandra Everett's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sandra Everett enrolled in Medicare?

Yes. Sandra Everett 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 Sandra Everett accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Sandra Everett 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 Sandra Everett affiliated with any hospitals?

According to CMS data, Sandra Everett is affiliated with Kaleida Health and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Sandra Everett was last updated on August 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.