SARA NICOLE HORST M.D.
NPI 1265551295
Internal Medicine - Gastroenterology in Nashville, TN

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1211 21ST AVE S, SUITE 210, NASHVILLE, TN 37212(615) 936-6977 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2021, Oct 19, 2020 (2 updates tracked since 2020).

About Sara Nicole Horst M.d. NPPES

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

SARA NICOLE HORST M.D. (NPI 1265551295) is an individual gastroenterology provider in Nashville, Tennessee, licensed in Tennessee (43742) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Ohio State University College Of Medicine (2004).

NPPES Registry Identity

NPI1265551295
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSARA NICOLE HORSTCredential: M.D.
Location Address1211 21ST AVE S, SUITE 210Nashville, TN 37212-2717
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 343-4758
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2004
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
NPI 1265551295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TN · 43742
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35089282 (OH), 43742 (TN)
1211 21ST AVE S, Nashville, TN 37212

Accepted 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

Sara Nicole Horst 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 ID8022114073
PECOS Enrollment IDI20110616000684
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 4

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.
60 services42 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.
31 services30 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.
13 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37212 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MEDICAL ARTS BUILDING
NASHVILLE, TN 37212
Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MAB
NASHVILLE, TN 37212
Anesthesiology (Critical Care Medicine)
1211 21ST AVE S, MAB SUITE 526
NASHVILLE, TN 37212
Dietitian, Registered
1211 21ST AVE S
NASHVILLE, TN 37212
Behavior Analyst
1211 21ST AVE S, MAB SUITE 110
NASHVILLE, TN 37212
Nurse Practitioner (Family)
1211 21ST AVE S, MEDICAL ARTS BUILDING, SUITE 114
NASHVILLE, TN 37212
Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MAB
NASHVILLE, TN 37212
Behavior Analyst
1211 21ST AVE S, SUITE 110
NASHVILLE, TN 37212

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 Sara Horst's NPI number?

The NPI number for Sara Horst is 1265551295. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Sara Horst located?

Sara Horst practices at 1211 21st Ave S Suite 210, Nashville, TN 37212. The listed phone number is (615) 936-6977.

What is Sara Horst's specialty?

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

Is Sara Horst enrolled in Medicare?

Yes. Sara Horst 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 Sara Horst accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Sara Horst 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 Sara Horst affiliated with any hospitals?

According to CMS data, Sara Horst is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Sara Horst was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.