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PATRICIA AIMEE SANCHEZ-FERMIN M.D.
NPI 1225068208
Internal Medicine - Gastroenterology in Suwanee, GA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
4275 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024(678) 775-0293(678) 775-0297 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patricia Aimee Sanchez-fermin M.d. NPPES

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

PATRICIA AIMEE SANCHEZ-FERMIN M.D. (NPI 1225068208) is an individual gastroenterology provider in Suwanee, Georgia, licensed in Georgia (073644) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and maintains a secondary practice location in Roswell.

NPPES Registry Identity

NPI1225068208
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePATRICIA AIMEE SANCHEZ-FERMINCredential: M.D.
Location Address4275 JOHNS CREEK PKWY STE ASuwanee, GA 30024-9117
Mailing Address4275 Johns Creek Pkwy Ste ASuwanee, GA 30024-9117 · (678) 475-1606 · Fax (678) 475-1615
Phone(678) 775-0293
Fax(678) 775-0297
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 4, 2006
Last NPPES UpdateFebruary 1, 2018
✔ NPI 1225068208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in GA · 073644✔ Licensed in MO · 2006023689
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4275 JOHNS CREEK PKWY STE A, Suwanee, GA 30024
Open in Google Maps ↗

Secondary Practice Location 1

Location 11340 Upper Hembree Rd, Suite ARoswell, GA 30076-0927 · Phone (770) 569-0777 · Fax (770) 569-7631

Other Identifiers 1

Medicaid003159536LGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Patricia Aimee Sanchez-fermin 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 ID9931254414
PECOS Enrollment IDI20150615001716
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 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.

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.
223 services144 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.
87 services79 patients
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.
73 services73 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.
73 services73 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.
73 services42 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
38 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

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.

MS. ALEXIS ADEOJO PA-C
Physician Assistant
4275 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (678) 475-1606
JAMES DOUGLAS BARNETT PA-C
Physician Assistant
4275 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (678) 475-1606
DR. JAE WOOK DONG M.D.
Internal Medicine
4275 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (678) 475-1606

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 Patricia Sanchez-fermin's NPI number?

The NPI number for Patricia Sanchez-fermin is 1225068208. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Patricia Sanchez-fermin located?

Patricia Sanchez-fermin practices at 4275 Johns Creek Pkwy Ste A, Suwanee, GA 30024. The listed phone number is (678) 775-0293.

What is Patricia Sanchez-fermin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Patricia Sanchez-fermin enrolled in Medicare?

Yes. Patricia Sanchez-fermin 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 Patricia Sanchez-fermin accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Patricia Sanchez-fermin 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 Patricia Sanchez-fermin affiliated with any hospitals?

According to CMS data, Patricia Sanchez-fermin is affiliated with Emory University Hospital Midtown, Northside Hospital and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Sanchez-fermin was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.