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DR. MICHAEL G SANDBORN MD
NPI 1235237454
Pain Medicine - Interventional Pain Medicine in Altamonte Springs, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
697 MAITLAND AVE, SUITE 1002, ALTAMONTE SPRINGS, FL 32701(407) 539-2111(407) 539-1211 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael G Sandborn Md NPPES

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

DR. MICHAEL G SANDBORN MD (NPI 1235237454) is an individual interventional pain medicine provider in Altamonte Springs, Florida, licensed in Florida (ME98460) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1995).

NPPES Registry Identity

NPI1235237454
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. MICHAEL G SANDBORNCredential: MD
Location Address697 MAITLAND AVE, SUITE 1002Altamonte Springs, FL 32701-6821
Mailing Address697 Maitland Ave, Suite 1001Altamonte Springs, FL 32701-6821 · (407) 539-2111 · Fax (407) 539-1211
Phone(407) 539-2111
Fax(407) 539-1211
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1995
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 14, 2014
✔ NPI 1235237454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in FL · ME98460
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301067176 (MI), ME98460 (FL)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License ME98460 (FL)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License ME98460 (FL)
697 MAITLAND AVE, Altamonte Springs, FL 32701
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Other Identifiers 3

Medicare UPINH07169MI
Medicaid009648400FL
Medicare PINCF152YFL

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. Michael G Sandborn 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 ID4981657160
PECOS Enrollment IDI20090928000233
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

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 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.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32701 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
59%4,246 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%55 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
0%1,318 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%1,734 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%1,730 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 32% · 1,579 patients
42%1,579 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%1,734 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 359 patients
2%359 patients4/55-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.

Other Providers at the Same Location NPPES 9

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

DR. FRANK SEVERIANO ALVAREZ JR. M.D.
Specialist
697 MAITLAND AVE, SUITE 1001
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 539-2111
MR. SCOTT ALLEN MCWILLIAMS BC-HIS
Hearing Instrument Specialist
697 MAITLAND AVE
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 331-1966
FIRST CHOICE MEDICAL CENTER
Family Medicine
697 MAITLAND AVE, SUITE 1001
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 539-2111
ADVANTACARE OF FLORIDA, LLC
Physical Therapist
697 MAITLAND AVE
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 539-2111
ADVANTACARE OF FLORIDA, LLC
Physical Medicine & Rehabilitation
697 MAITLAND AVE, SUITE1001
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 539-2111
DAVID A LIBERT MD
Family Medicine
697 MAITLAND AVE, SUITE 1001
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 539-2111
ALL FAMILY CLINIC OF DAYTONA BEACH, INC
Specialist
697 MAITLAND AVE, SUITE 1002
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 539-2111
ADVANTACARE MULTI-SPECIALTY GROUP, LLC
Physical Medicine & Rehabilitation
697 MAITLAND AVE
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 539-2111

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 Michael Sandborn's NPI number?

The NPI number for Michael Sandborn is 1235237454. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Michael Sandborn located?

Michael Sandborn practices at 697 Maitland Ave Suite 1002, Altamonte Springs, FL 32701. The listed phone number is (407) 539-2111.

What is Michael Sandborn's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Michael Sandborn enrolled in Medicare?

Yes. Michael Sandborn 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.

When was this NPI record last updated?

The NPPES record for Michael Sandborn was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.