DR. SANDY P NAPLES DO
NPI 1295728764
Family Medicine in Poland, OH

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
85.12/100
CMS Quality Rating
6615 CLINGAN RD, SUITE C, POLAND, OH 44514(330) 757-7888(330) 757-4912 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandy P Naples Do NPPES

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

DR. SANDY P NAPLES DO (NPI 1295728764) is an individual family medicine provider in Poland, Ohio, licensed in Ohio (34005117) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1989).

NPPES Registry Identity

NPI1295728764
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SANDY P NAPLESCredential: DO
Location Address6615 CLINGAN RD, SUITE CPoland, OH 44514-2159
Mailing Address6615 Clingan Rd, Suite CPoland, OH 44514-2159 · (330) 757-7888 · Fax (330) 757-4912
Fax(330) 757-4912
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1989
Enumeration DateAugust 30, 2005
Last NPPES UpdateOctober 15, 2007
NPI 1295728764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34005117
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.
6615 CLINGAN RD, Poland, OH 44514

Other Identifiers 6

Other0101731OH · United Healthcare
Medicare UPINE96611OH
Medicare ID-Type Unspecified0698422OH
Medicaid0885136OH
Other000000139564OH · Anthem Bc/bs
Other000000507814Anthem

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. Sandy P Naples 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 ID42261505
PECOS Enrollment IDI20050202000594
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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
659 services73 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
543 services299 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.
500 services247 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.
300 services262 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.
267 services185 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
255 services255 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44514 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.44
Promoting Interoperability70
Improvement Activities40
Cost87.97

Reported Quality Measures

Breast Cancer Screening
64%721 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
62%1,771 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
80%1,017 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
19%370 patients4/55-star benchmark: 91%
e-Prescribing
97%24,595 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 8% · 2,813 patients
Patients screened: 13% · 2,813 patients
48%465 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
53%3,517 patients3/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
4%1,582 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

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
17 suppliers83 claims201 services$5.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers34 claims47 services$0.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers19 claims19 services$86.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers17 claims48 services$30.84 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers23 claims23 services$14.27 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers24 claims24 services$11.53 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 11

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

Orthopaedic Surgery
6615 CLINGAN RD, SUITE A
POLAND, OH 44514
Pharmacist
6615 CLINGAN RD, SUITE B
POLAND, OH 44514
Clinical Medical Laboratory
6615 CLINGAN RD, SUITE A
POLAND, OH 44514
Radiology (Diagnostic Radiology)
6615 CLINGAN RD, SUITE F
POLAND, OH 44514
Family Medicine
6615 CLINGAN RD, SUITE C
POLAND, OH 44514
Orthopaedic Surgery
6615 CLINGAN RD, SUITE A
POLAND, OH 44514
Physician Assistant
6615 CLINGAN RD
POLAND, OH 44514
Family Medicine
6615 CLINGAN RD, SUITE C
POLAND, OH 44514

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 Sandy Naples's NPI number?

The NPI number for Sandy Naples is 1295728764. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Sandy Naples located?

Sandy Naples practices at 6615 Clingan Rd Suite C, Poland, OH 44514. The listed phone number is (330) 757-7888.

What is Sandy Naples's specialty?

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

Is Sandy Naples enrolled in Medicare?

Yes. Sandy Naples 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 Sandy Naples accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Sandy Naples 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 Sandy Naples affiliated with any hospitals?

According to CMS data, Sandy Naples is affiliated with St Elizabeth Youngstown Hospital, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Sandy Naples was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.