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THOMAS DAVID SANDERSON AGACNP
NPI 1275171316
Nurse Practitioner - Gerontology in Portland, OR

Active since December 19, 2019PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213(503) 962-1000 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, Dec 19, 2019 (2 updates tracked since 2019).

About Thomas David Sanderson Agacnp NPPES

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

THOMAS DAVID SANDERSON AGACNP (NPI 1275171316) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (201904283NP-PP) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ashland, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275171316
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameTHOMAS DAVID SANDERSONCredential: AGACNP
Location Address4400 NE HALSEY ST STE 102Portland, OR 97213-1545
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 962-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 19, 2019
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1275171316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OR · 201904283NP-PP
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 201904282RN (OR)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 201904283NP-PP (OR)
4400 NE HALSEY ST STE 102, Portland, OR 97213
Open in Google Maps ↗

Secondary Practice Location 1

Location 1148 E Hersey StAshland, OR 97520-1359 · Phone (541) 552-1111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Thomas David Sanderson Agacnp 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 ID3971912726
PECOS Enrollment IDI20210506001364
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

3

Medicare enrollment records show Thomas Sanderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
Same address
Cardiovascular Disease
4400 NE HALSEY ST STE 102
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1578854857 (503) 962-1000
Providence Health & Services - Oregon
0.5 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000
Providence Health & Services - Oregon
7.6 mi
Clinic/Center
9205 SW BARNES RD, SUITE 20
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1235259532 (503) 216-2229

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 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
123 services111 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.
108 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
103 services90 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.
52 services43 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services23 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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.

CINDY M FULTON PA-C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
JACQUELINE ANA LEVENE DO
Internal Medicine
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
SALEEMAH WAJEEDAH SMITH PA-C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
KRISTIN H BOURRET PAC
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
DALE DOUGLAS HIRSCH MD
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
DR. JASON SHAWN BENSCH M.D.
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
MR. SHANNON I LEWIS PA C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
MS. NICOLE N RANSBOTTOM AGACNP
Nurse Practitioner (Acute Care)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000

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 Thomas Sanderson's NPI number?

The NPI number for Thomas Sanderson is 1275171316. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Where is Thomas Sanderson located?

Thomas Sanderson practices at 4400 NE Halsey St Ste 102, Portland, OR 97213. The listed phone number is (503) 962-1000.

What is Thomas Sanderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Thomas Sanderson enrolled in Medicare?

Yes. Thomas Sanderson 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 Thomas Sanderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Sanderson reassigns Medicare benefits to 3 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services - Oregon (Portland, OR). 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 Thomas Sanderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Sanderson accept?

Health plans from Providence Health Plan list Thomas Sanderson 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.

When was this NPI record last updated?

The NPPES record for Thomas Sanderson was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.