ANTHONY L SANDIEGO MD
NPI 1215935895
Surgery in Gibson City, IL

Q: What is Anthony Sandiego's NPI number?

The NPI number for Anthony Sandiego is 1215935895. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Anthony Sandiego's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Sandiego was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 08, 2005PECOS EnrolledAccepts Medicare Assignment

1 DOCTORS PARK, GIBSON CITY, IL 60936(217) 784-4297(217) 784-4697 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Anthony L Sandiego Md NPPES

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

ANTHONY L SANDIEGO MD (NPI 1215935895) is an individual surgery provider in Gibson City, Illinois, licensed in Illinois (036104575) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1215935895

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameANTHONY L SANDIEGOCredential: MD

Location Address1 DOCTORS PARKGibson City, IL 60936-2000

Mailing Address1 Doctors ParkGibson City, IL 60936-2000 · (217) 784-4297 · Fax (217) 784-4697

Phone(217) 784-4297

Fax(217) 784-4697

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 8, 2005

Last NPPES UpdateDecember 21, 2012

✔ NPI 1215935895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 036104575

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 DOCTORS PARK, Gibson City, IL 60936

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Other Identifiers 5

Other370647938Fein

Other02727758IL · Blue Cross/blue Shield

Medicare ID-Type Unspecified709290IL

Medicare OSCAR/certification825130

Medicaid036104575IL

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

Anthony L Sandiego 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 ID3072646959

PECOS Enrollment IDI20100728001142

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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Sandiego reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibson Community Hospital Association

Same address

Rheumatology

4 DOCTORS PARK
Gibson City, IL 60936

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1154702181 (Illinois)
201 clinicians in this Medicare group

NPI 1174262968 (217) 784-2806

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 10

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

95 services93 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

76 services72 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.

53 services49 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.

33 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services32 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141317

Location1120 N Melvin StreetGibson City, IL 60936 · Ford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60936 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 6

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

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