DR. THOMAS PAUL SANFORD JR. MD
NPI 1316436348
Psychiatry & Neurology - Neurology in Crestview Hills, KY

Q: What is Thomas Sanford's NPI number?

The NPI number for Thomas Sanford is 1316436348. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Q: What is Thomas Sanford's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sanford was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

320 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017(859) 341-4266(859) 344-5076 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Jun 1, 2026, May 14, 2026 and 5 more (8 updates tracked since 2018).

On this page

About Dr. Thomas Paul Sanford Jr. Md NPPES

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

DR. THOMAS PAUL SANFORD JR. MD (NPI 1316436348) is an individual neurology provider in Crestview Hills, Kentucky, licensed in Kentucky (56938) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316436348

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. THOMAS PAUL SANFORD JR.Credential: MD

Location Address320 THOMAS MORE PKWYCrestview Hills, KY 41017-3410

Mailing Address4805 Montgomery Rd Ste 150Cincinnati, OH 45212-2280 · (513) 961-5558

Phone(859) 341-4266

Fax(859) 344-5076

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018

Enumeration DateMay 4, 2018

Last NPPES UpdateJuly 6, 20268 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1316436348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in KY · 56938✔ Licensed in OH · 35.155262

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

320 THOMAS MORE PKWY, Crestview Hills, KY 41017

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Secondary Practice Locations 2

Location 13310 Mercy Health Blvd Ste 230Cincinnati, OH 45211-1120 · Phone (513) 451-6200 · Fax (513) 451-0344

Location 24805 Montgomery Rd Ste 410Cincinnati, OH 45212-2198 · Phone (513) 241-2370 · Fax (513) 241-6053

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Paul Sanford Jr. Md 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 ID4688924921

PECOS Enrollment IDI20260609001035

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 Thomas Sanford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverhills Healthcare Inc

11 mi

Neurology

4805 MONTGOMERY RD STE 410
Cincinnati, OH 45212

Reassigned Medicare billing, Kentucky and Ohio enrollments
15 clinicians in this Medicare group

NPI 1205943651 (513) 241-2370

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 7

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.

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.

287 services190 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.

96 services93 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

92 services92 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.

57 services54 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

32 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150009

Location1220 Missouri AveJeffersonville, IN 47130 · Clark County

Emergency services Birthing friendly

Chi Saint Joseph Health -Flaget Memorial Hospital

Acute Care Hospitals · Bardstown, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180025

Location4305 New Shepherdsville RoadBardstown, KY 40004 · Nelson County

Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 Interoperability

100

Improvement Activities

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.

ELIZABETH BROOKE CAMPBELL

Clinical Neuropsychologist