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DOUGLAS M. SAWCH MD
NPI 1285123158
Internal Medicine - Cardiovascular Disease in Lexington, VA

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
108 HOUSTON ST STE E, LEXINGTON, VA 24450(540) 463-2227 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Jun 21, 2024, May 7, 2018 (3 updates tracked since 2018).

About Douglas M. Sawch Md NPPES

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

DOUGLAS M. SAWCH MD (NPI 1285123158) is an individual cardiovascular disease provider in Lexington, Virginia, licensed in Virginia (0101280975) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1285123158
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDOUGLAS M. SAWCHCredential: MD
Location Address108 HOUSTON ST STE ELexington, VA 24450-2455
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone(540) 463-2227
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 7, 2018
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1285123158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in VA · 0101280975
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101280975 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
108 HOUSTON ST STE E, Lexington, VA 24450
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee St Box '800744'Charlottesville, VA 22908-0001 · Phone (434) 924-1931 · Fax (434) 243-5770

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

Douglas M. Sawch 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 ID547518359
PECOS Enrollment IDI20240716000305
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 Douglas Sawch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Rockbridge Community Hospital
Same address
Rural Health
108 HOUSTON ST, SUITE A
Lexington, VA 24450
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1942854427 (Virginia)
  • 507 clinicians in this Medicare group
NPI 1780076265 (540) 458-3344
Carilion Healthcare Corporation
44 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452
Carilion Medical Center
45 mi
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
285 services195 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
102 services102 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
13 services13 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490126
LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County
Emergency services

Bath Community Hospital

Critical Access Hospitals · Hot Springs, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491300
Location106 Park Drive- PO Drawer ZHot Springs, VA 24445 · Bath County
Emergency services

Carilion Stonewall Jackson Hospital

Critical Access Hospitals · Lexington, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491304
Location1 Health CircleLexington, VA 24450 · Lexington City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GLEN RIVERA PA-C
Physician Assistant
108 HOUSTON ST STE E
LEXINGTON, VA 24450
Lexington City (540) 463-2227

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 Douglas Sawch's NPI number?

The NPI number for Douglas Sawch is 1285123158. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Douglas Sawch located?

Douglas Sawch practices at 108 Houston St Ste E, Lexington, VA 24450. The listed phone number is (540) 463-2227.

What is Douglas Sawch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Douglas Sawch enrolled in Medicare?

Yes. Douglas Sawch 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 Douglas Sawch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Sawch reassigns Medicare benefits to 3 organizations: Carilion Rockbridge Community Hospital (Lexington, VA), Carilion Healthcare Corporation (Roanoke, VA) and Carilion Medical Center (Roanoke, VA). 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 Douglas Sawch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Douglas Sawch affiliated with any hospitals?

According to CMS data, Douglas Sawch is affiliated with Carilion Medical Center, Lewisgale Hospital Alleghany, Bath Community Hospital and Carilion Stonewall Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Sawch was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.