DR. STEPHEN DEGNAN SANDOVAL M.D.
NPI 1205986882
Orthopaedic Surgery in Sherman, TX

Q: What is Stephen Sandoval's NPI number?

The NPI number for Stephen Sandoval is 1205986882. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Stephen Sandoval's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Sandoval was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

321 N HIGHLAND AVE, STE 120, SHERMAN, TX 75092(903) 870-7936(903) 957-0367 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Stephen Degnan Sandoval M.d. NPPES

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

DR. STEPHEN DEGNAN SANDOVAL M.D. (NPI 1205986882) is an individual orthopaedic surgery provider in Sherman, Texas, licensed in Texas (M6863) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1998).

NPPES Registry Identity

NPI1205986882

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. STEPHEN DEGNAN SANDOVALCredential: M.D.

Location Address321 N HIGHLAND AVE, STE 120Sherman, TX 75092-7378

Mailing Address321 N Highland Ave, Ste 120Sherman, TX 75092-7378 · (903) 870-7936 · Fax (903) 957-0367

Phone(903) 870-7936

Fax(903) 957-0367

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1998

Enumeration DateJanuary 12, 2007

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedOctober 2, 2020

✔ NPI 1205986882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · M6863

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License M6863 (TX)

321 N HIGHLAND AVE, Sherman, TX 75092

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Other Identifiers 3

Medicaid196461101TX

Medicaid200198900AOK

Other8BJ960TX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Stephen Degnan Sandoval 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 ID2567536592

PECOS Enrollment IDI20081002000656

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 19

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

2,880 services42 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.

472 services269 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.

417 services258 patients

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.

187 services142 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

169 services153 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

158 services158 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.

125 services107 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.

96 services96 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

83 services74 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

53 services47 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.

42 services38 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

32 services29 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

31 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services23 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

17 services12 patients

Partial removal or repair of shoulder bone near collar bone 23130

This procedure involves the repair or partial removal of the shoulder bone near the collar bone. It's typically done to alleviate pain or improve mobility issues. The process may involve shaving off bone spurs or removing a small part of the bone to relieve pressure.

15 services14 patients

Limited removal of abnormal shoulder joint tissue using endoscope 29822

This procedure involves the use of a tiny camera, known as an endoscope, to examine and remove abnormal tissue in the shoulder joint. It's a minimally invasive method, which means it requires smaller incisions, reducing recovery time and discomfort.

15 services14 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

14 services13 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450324

Location5016 S Us Highway 75Denison, TX 75020 · Grayson County

Emergency services Birthing friendly

Wilson N Jones Regional Medical Center

Acute Care Hospitals · Sherman, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450469

Location500 N Highland AvenueSherman, TX 75091 · Grayson County

Emergency services Birthing friendly

Tmc- Bonham Hospital

Critical Access Hospitals · Bonham, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451370

Location504 Lipscomb StreetBonham, TX 75418 · Fannin County

Emergency services

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX

2/5 CMS rating

OwnershipPhysician

CMS Certification Number670076

Location3601 Calais DriveSherman, TX 75090 · Grayson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75092 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%792 patients5/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

98%165 patients5/55-star benchmark: 87%

Controlling High Blood Pressure

73%22 patients4/55-star benchmark: 91%

Falls: Screening for Future Fall Risk

100%771 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%1,612 patients5/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.02%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 807 patients

Patients totalRate: 0% · 807 patients

0%807 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier17 claims17 services$89.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. MOHAMAD S AL-RIFAI MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092

Grayson County (903) 893-5141

DR. JEROME E LOPEZ MD

Psychiatry & Neurology (Neurology)

321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092

Grayson County (903) 893-5141

DR. IRFAN ADIL JAFREE MD

Psychiatry & Neurology (Neurology)

321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092

Grayson County (903) 893-5141

MRS. BONNIE BOYD SMITHERS F.N.P.

Nurse Practitioner (Family)

321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092

Grayson County (903) 892-6245

SHANNON DIONE CAIN P.A.-C

Physician Assistant (Surgical)

321 N HIGHLAND AVE, SUITE 120
SHERMAN, TX 75092

Grayson County (903) 870-7936

MRS. MARSHA K RUNNELS PT

Physical Therapist

321 N HIGHLAND AVE, STE 120
SHERMAN, TX 75092

Grayson County (903) 957-0385

KAREN E KAINRAD OT

Occupational Therapist

321 N HIGHLAND AVE
SHERMAN, TX 75092

Grayson County (972) 832-9318

ISHAQ ALI M.D.

Psychiatry & Neurology (Neurology)

321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092

Grayson County (903) 893-5141

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 Stephen Sandoval's NPI number?

The NPI number for Stephen Sandoval is 1205986882. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Stephen Sandoval located?

Stephen Sandoval practices at 321 N Highland Ave Ste 120, Sherman, TX 75092. The listed phone number is (903) 870-7936.

What is Stephen Sandoval's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stephen Sandoval enrolled in Medicare?

Yes. Stephen Sandoval 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 Stephen Sandoval accept?

Health plans from UnitedHealthcare list Stephen Sandoval 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 Stephen Sandoval affiliated with any hospitals?

According to CMS data, Stephen Sandoval is affiliated with Texoma Medical Center, Wilson N Jones Regional Medical Center, Tmc- Bonham Hospital and Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for Stephen Sandoval was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.