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JAMES M SANDERS MD
NPI 1235398231
Surgery in Dallas, TX

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
8230 WALNUT HILL LN STE 320, DALLAS, TX 75231(214) 369-5432(214) 369-5591 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2021, Jun 21, 2016 (2 updates tracked since 2016).

About James M Sanders Md NPPES

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

JAMES M SANDERS MD (NPI 1235398231) is an individual surgery provider in Dallas, Texas, licensed in Texas (N4719) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2007).

NPPES Registry Identity

NPI1235398231
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES M SANDERSCredential: MD
Location Address8230 WALNUT HILL LN STE 320Dallas, TX 75231-4481
Mailing Address8230 Walnut Hill Ln Ste 320Dallas, TX 75231-4481 · (214) 369-5432 · Fax (214) 369-5591
Phone(214) 369-5432
Fax(214) 369-5591
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2007
Enumeration DateJune 4, 2008
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1235398231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · N4719
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8230 WALNUT HILL LN STE 320, Dallas, TX 75231
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

James M Sanders 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 ID7315117199
PECOS Enrollment IDI20231227000286
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 James Sanders reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Physicians Group
0.1 mi
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1053767897 (214) 860-6300
Bon Secours Medical Group Greenville Specialty Care LLC
835 mi
Cardiovascular Disease
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 389 clinicians in this Medicare group
NPI 1821679580 (864) 603-6099

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 5

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.

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.
40 services40 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.
39 services38 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.
38 services23 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.
13 services13 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

JORDAN STELLATO PA-C
Physician Assistant (Surgical)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (817) 247-7284
MRS. LINDSEY GAYLE MELENDEZ FNP
Nurse Practitioner (Acute Care)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
COURTNEY CARTIER D.O
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
BRIAN MATTHEW TIBBS MD
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
GEORGE THOMAS SHIRES III MD
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
MOHAMMAD AMIN FROTAN MD
Surgery (Surgical Critical Care)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
JONATHAN LEX URANGA
Physician Assistant
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
KAMRYN SIMPSON PA-C
Physician Assistant (Surgical)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432

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 James Sanders's NPI number?

The NPI number for James Sanders is 1235398231. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is James Sanders located?

James Sanders practices at 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231. The listed phone number is (214) 369-5432.

What is James Sanders's specialty?

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

Is James Sanders enrolled in Medicare?

Yes. James Sanders 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 James Sanders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Sanders reassigns Medicare benefits to 2 organizations: Texas Health Physicians Group (Dallas, TX) and Bon Secours Medical Group Greenville Specialty Care LLC (Greenville, SC). 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 James Sanders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Sanders accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 4 other insurers list James Sanders 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 James Sanders affiliated with any hospitals?

According to CMS data, James Sanders is affiliated with St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for James Sanders was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.