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SANDRA L CARPENTER M.D.
NPI 1285697425
Family Medicine in Gadsden, AL

Active since April 10, 2006PECOS Enrolled
87.47/100
CMS Quality Rating
403 BAY ST, GADSDEN, AL 35901(256) 546-1011(256) 546-3011 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandra L Carpenter M.d. NPPES

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

SANDRA L CARPENTER M.D. (NPI 1285697425) is an individual family medicine provider in Gadsden, Alabama, licensed in Alabama (22495) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285697425
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDRA L CARPENTERCredential: M.D.
Location Address403 BAY STGadsden, AL 35901-5107
Mailing Address403 Bay StGadsden, AL 35901-5107 · (256) 546-1011 · Fax (256) 546-3011
Phone(256) 546-1011
Fax(256) 546-3011
Sole ProprietorYes
Enumeration DateApril 10, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1285697425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 22495
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.
403 BAY ST, Gadsden, AL 35901
Open in Google Maps ↗

Other Identifiers 2

Other01D0987421AL · Clia Waived
Medicaid009959790AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra L Carpenter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sandra Carpenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gadsden Regional Physician Group Practice LLC
2.0 mi
Internal Medicine
1007 GOODYEAR AVE
Gadsden, AL 35903
  • Reassigned Medicare billing, Alabama enrollment
  • 48 clinicians in this Medicare group
NPI 1558506550 (256) 494-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

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.

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
1 supplier18 claims21 services$80.62 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.

BAY STREET CLINIC LLC
Family Medicine
403 BAY ST
GADSDEN, AL 35901
Etowah County (256) 546-1011

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 Sandra Carpenter's NPI number?

The NPI number for Sandra Carpenter is 1285697425. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Sandra Carpenter located?

Sandra Carpenter practices at 403 Bay St, Gadsden, AL 35901. The listed phone number is (256) 546-1011.

What is Sandra Carpenter's specialty?

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

Is Sandra Carpenter enrolled in Medicare?

Yes. Sandra Carpenter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Carpenter reassigns Medicare benefits to Gadsden Regional Physician Group Practice LLC (Gadsden, AL). The 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 Sandra Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Carpenter was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.