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ELIZABETH HELEN SANDEL DO
NPI 1265636203
Family Medicine in Cropseyville, NY

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
3991 NY-2 STE 15, CROPSEYVILLE, NY 12052(518) 631-5479(833) 973-3367 Get Directions Write a Review

NPPES record last updated: September 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2024, Jul 25, 2024, May 9, 2023 and 3 more (6 updates tracked since 2021).

About Elizabeth Helen Sandel Do NPPES

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

ELIZABETH HELEN SANDEL DO (NPI 1265636203) is an individual family medicine provider in Cropseyville, New York, licensed in New York (243490) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Rowan University School Of Osteopathic Medicine (2004).

NPPES Registry Identity

NPI1265636203
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH HELEN SANDELCredential: DO
Location Address3991 NY-2 STE 15Cropseyville, NY 12052-2933
Mailing Address4 Marie HtsWest Sand Lake, NY 12196-1753 · (518) 268-0881 · Fax (518) 649-4094
Phone(518) 631-5479
Fax(833) 973-3367
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2004
Enumeration DateJune 13, 2007
Last NPPES UpdateSeptember 22, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2024
✔ NPI 1265636203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 243490
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3991 NY-2 STE 15, Cropseyville, NY 12052
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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

Elizabeth Helen Sandel Do 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 ID2668566407
PECOS Enrollment IDI20070924000537
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

4

Medicare enrollment records show Elizabeth Sandel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sandel Primary Care PLLC
Same address
Family Medicine
3991 NY-2. STE 15
Cropseyville, NY 12052
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1396593083 (518) 217-8199
Samaritan Hospital Of Troy, New York
5.4 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300
St. Peter's Hospital Of The City Of Albany
12 mi
Internal Medicine
53 COLUMBIA STREET
Rensselaer, NY 12144
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
NPI 1487725750 (518) 434-2526
Lettrick Family Medicine PLLC
13 mi
Family Medicine
1528 COLUMBIA TPKE
Castleton, NY 12033
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1164793808 (518) 466-2287

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 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.
124 services79 patients
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.
73 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12052 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims39 services$5.92 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers17 claims17 services$10.54 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$197.11 avg. paid by Medicare
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825
DME-Wheelchairs · category DD009N
2 suppliers12 claims12 services$164.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Elizabeth Sandel's NPI number?

The NPI number for Elizabeth Sandel is 1265636203. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Elizabeth Sandel located?

Elizabeth Sandel practices at 3991 Ny-2 Ste 15, Cropseyville, NY 12052. The listed phone number is (518) 631-5479.

What is Elizabeth Sandel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elizabeth Sandel enrolled in Medicare?

Yes. Elizabeth Sandel 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 Elizabeth Sandel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Sandel reassigns Medicare benefits to 4 organizations: Sandel Primary Care PLLC (Cropseyville, NY), Samaritan Hospital Of Troy, New York (Troy, NY), St. Peter's Hospital Of The City Of Albany (Rensselaer, NY) and Lettrick Family Medicine PLLC (Castleton, NY). 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 Elizabeth Sandel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Elizabeth Sandel affiliated with any hospitals?

According to CMS data, Elizabeth Sandel is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Elizabeth Sandel was last updated on September 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.