MARCOS D SANCHEZ JR. M.D.
NPI 1225046873
Hospitalist in Lansdale, PA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
100 MEDICAL CAMPUS DR, LANSDALE, PA 19446(215) 361-4854(215) 361-4933 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marcos D Sanchez Jr. M.d. NPPES

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

MARCOS D SANCHEZ JR. M.D. (NPI 1225046873) is an individual hospitalist provider in Lansdale, Pennsylvania, licensed in Pennsylvania (MD420238) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1225046873
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMARCOS D SANCHEZ JR.Credential: M.D.
Location Address100 MEDICAL CAMPUS DRLansdale, PA 19446-1259
Mailing Address2500 Maryland Rd, Suite #400Willow Grove, PA 19090-1216 · (215) 481-3064
Fax(215) 361-4933
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 3, 2006
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1225046873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD420238
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
100 MEDICAL CAMPUS DR, Lansdale, PA 19446

Other Identifiers 2

Medicaid0019172710007PA
Medicaid0019172710006PA

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

Marcos D Sanchez Jr. 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 ID9032159611
PECOS Enrollment IDI20050504000121
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 Reassignments

2

Medicare enrollment records show Marcos Sanchez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Transplant Surgery
8835 GERMANTOWN AVE
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
Family Medicine
320 W PUMPING STATION RD STE 3
Quakertown, PA 18951
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 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.

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.
316 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
235 services101 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
159 services153 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19446 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$14.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$62.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
100 MEDICAL CAMPUS DR
LANSDALE, PA 19446
Registered Nurse (Emergency)
100 MEDICAL CAMPUS DR
LANSDALE, PA 19446
Nurse Anesthetist, Certified Registered
100 MEDICAL CAMPUS DR
LANSDALE, PA 19446
Physician Assistant
100 MEDICAL CAMPUS DR
LANSDALE, PA 19446
Anesthesiology
100 MEDICAL CAMPUS DR
LANSDALE, PA 19446
Nurse Practitioner (Acute Care)
100 MEDICAL CAMPUS DR
LANSDALE, PA 19446
Dietitian, Registered
100 MEDICAL CAMPUS DR
LANSDALE, PA 19446
Emergency Medicine
100 MEDICAL CAMPUS DR
LANSDALE, PA 19446

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 Marcos Sanchez's NPI number?

The NPI number for Marcos Sanchez is 1225046873. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Marcos Sanchez located?

Marcos Sanchez practices at 100 Medical Campus Dr, Lansdale, PA 19446. The listed phone number is (215) 361-4854.

What is Marcos Sanchez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Marcos Sanchez enrolled in Medicare?

Yes. Marcos Sanchez 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 Marcos Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcos Sanchez reassigns Medicare benefits to 2 organizations: Tower Health Medical Group (Philadelphia, PA) and Lehigh Valley Physician Group (Quakertown, PA). 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 Marcos Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marcos Sanchez affiliated with any hospitals?

According to CMS data, Marcos Sanchez is affiliated with St Luke's Hospital Bethlehem and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Marcos Sanchez was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.