DR. BRETT L SANDIFER M.D.
NPI 1285632190
Internal Medicine - Critical Care Medicine in Austell, GA

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3820 MEDICAL PARK DR, AUSTELL, GA 30106(770) 948-6041(770) 739-5411 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brett L Sandifer M.d. NPPES

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

DR. BRETT L SANDIFER M.D. (NPI 1285632190) is an individual critical care medicine provider in Austell, Georgia, licensed in Georgia (051381) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of University Of South Florida College Of Medicine (1999).

NPPES Registry Identity

NPI1285632190
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. BRETT L SANDIFERCredential: M.D.
Location Address3820 MEDICAL PARK DRAustell, GA 30106-1110
Mailing Address1968 Peachtree Rd NwAtlanta, GA 30309-1281 · (770) 948-5409 · Fax (770) 948-7994
Fax(770) 739-5411
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1999
Enumeration DateJuly 13, 2005
Last NPPES UpdateNovember 12, 2015
NPI 1285632190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in GA · 051381
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 051381 (GA)
3820 MEDICAL PARK DR, Austell, GA 30106

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

Dr. Brett L Sandifer 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 ID1951342229
PECOS Enrollment IDI20050517000569
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
447 services228 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.
187 services131 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.
85 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
70 services69 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
47 services47 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 2

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
4 suppliers16 claims16 services$15.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers19 claims19 services$66.00 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 20

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

Internal Medicine (Pulmonary Disease)
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Physician Assistant
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Physician Assistant
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Physician Assistant
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Physician Assistant
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Physician Assistant (Medical)
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Physician Assistant (Medical)
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Physician Assistant (Medical)
3820 MEDICAL PARK DR
AUSTELL, GA 30106

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 Brett Sandifer's NPI number?

The NPI number for Brett Sandifer is 1285632190. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Brett Sandifer located?

Brett Sandifer practices at 3820 Medical Park Dr, Austell, GA 30106. The listed phone number is (770) 948-6041.

What is Brett Sandifer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Brett Sandifer enrolled in Medicare?

Yes. Brett Sandifer 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 Brett Sandifer accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Brett Sandifer 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 Brett Sandifer affiliated with any hospitals?

According to CMS data, Brett Sandifer is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Brett Sandifer was last updated on November 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.