HUGH M SANCHEZ MD
NPI 1306829809
Internal Medicine in Paw Paw, MI

Active since November 29, 2005PECOS Enrolled
84.88/100
CMS Quality Rating
404 HAZEN ST, PAW PAW, MI 49079(269) 657-2550(269) 657-2285 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hugh M Sanchez Md NPPES

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

HUGH M SANCHEZ MD (NPI 1306829809) is an individual internal medicine provider in Paw Paw, Michigan, licensed in Michigan (4301062429) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306829809
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHUGH M SANCHEZCredential: MD
Location Address404 HAZEN STPaw Paw, MI 49079-0178
Mailing Address404 Hazen StPaw Paw, MI 49079-1040 · (269) 657-2550 · Fax (269) 657-2285
Fax(269) 657-2285
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 12, 2020
NPI 1306829809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301062429
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

404 HAZEN ST, Paw Paw, MI 49079

Other Identifiers 4

OtherCA2184MI · Railroad Medicare
Medicaid4939307MI
OtherC30861MI · Railroad Medicare
Medicaid4791020MI

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 (PECOS)

Hugh M Sanchez Md 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.

Areas of Expertise CMS Part B claims 6

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
111 services57 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
65 services62 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
61 services41 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
34 services26 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
23 services23 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49079 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

Pharmacist
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Physician Assistant (Medical)
404 HAZEN ST, SUITE L3
PAW PAW, MI 49079
Physician Assistant
404 HAZEN ST
PAW PAW, MI 49079
Pharmacy (Community/Retail Pharmacy)
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Pharmacist
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Psychiatry & Neurology (Psychiatry)
404 HAZEN ST, SUITE 104
PAW PAW, MI 49079
Surgery
404 HAZEN ST, SUITE 101
PAW PAW, MI 49079
Social Worker
404 HAZEN ST
PAW PAW, MI 49079

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 Hugh Sanchez's NPI number?

The NPI number for Hugh Sanchez is 1306829809. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Hugh Sanchez located?

Hugh Sanchez practices at 404 Hazen St, Paw Paw, MI 49079. The listed phone number is (269) 657-2550.

What is Hugh Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hugh Sanchez enrolled in Medicare?

Yes. Hugh Sanchez is registered in the Medicare PECOS enrollment system.

What insurance does Hugh Sanchez accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Hugh Sanchez 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 Hugh Sanchez was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.