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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: October 18, 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
Phone(269) 657-2550
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
Open in Google Maps ↗

Other Identifiers 4

OtherCA2184MI · Railroad Medicare
Medicaid4939307MI
OtherC30861MI · Railroad Medicare
Medicaid4791020MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hugh Sanchez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronson Lakeview Hospital
2.3 mi
Internal Medicine
451 HEALTH PKWY
Paw Paw, MI 49079
  • Reassigned Medicare billing, Michigan enrollment
  • 251 clinicians in this Medicare group
NPI 1235131137 (269) 657-2550
Bronson Methodist Hospital
17 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654

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 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 10

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

PATRICK MICHAEL LYNCH R.PH.
Pharmacist
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Van Buren County (269) 657-4701
PAUL STEPHEN COSTANZO PA-C
Physician Assistant (Medical)
404 HAZEN ST, SUITE L3
PAW PAW, MI 49079
Van Buren County (269) 657-1595
SKINNER & HANG INC
Pharmacy (Community/Retail Pharmacy)
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Van Buren County (269) 657-4701
MRS. BARBARA L THOMPSON RPH
Pharmacist
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Van Buren County (269) 657-4701
NADEEM M MIRZA MD
Psychiatry & Neurology (Psychiatry)
404 HAZEN ST, SUITE 104
PAW PAW, MI 49079
Van Buren County (269) 657-1595
REBECCA L THORESON M.D.
Surgery
404 HAZEN ST, SUITE 101
PAW PAW, MI 49079
Van Buren County (269) 657-4407
PAUL MARCUS KOLON LMSW
Social Worker
404 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-1559
JENNIFER L SAMPSELL CPHT
Pharmacy Technician
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Van Buren County (269) 657-4701

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.

Which organizations bill Medicare for Hugh Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hugh Sanchez reassigns Medicare benefits to 2 organizations: Bronson Lakeview Hospital (Paw Paw, MI) and Bronson Methodist Hospital (Kalamazoo, MI). 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 Hugh Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.