PHILA M SASENBURY
NPI 1336669043
Nurse Practitioner - Family in Elmira, NY

Q: What is Phila Sasenbury's NPI number?

The NPI number for Phila Sasenbury is 1336669043. It was assigned to this individual provider in the NPPES registry on June 23, 2017. The provider is also known as Phila M Gilbert.

Q: What is Phila Sasenbury's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Phila Sasenbury was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment

81.01/100

CMS Quality Rating

600 ROE AVE STE 4A, ELMIRA, NY 14905(607) 271-3780(607) 271-3894 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2020, Mar 17, 2018, Jun 23, 2017 (3 updates tracked since 2017).

On this page

About Phila M Sasenbury NPPES

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

PHILA M SASENBURY (NPI 1336669043) is an individual family provider in Elmira, New York, licensed in New York (342020) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336669043

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePHILA M SASENBURY

Location Address600 ROE AVE STE 4AElmira, NY 14905-1629

Mailing Address571 Saint Josephs Blvd Fl 2Elmira, NY 14901-3230 · (607) 271-2050

Phone(607) 271-3780

Fax(607) 271-3894

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 23, 2017

Last NPPES UpdateNovember 30, 20203 updates tracked since enumeration

NPPES CertifiedNovember 30, 2020

✔ NPI 1336669043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 342020

Also ListedRegistered NurseTaxonomy 163W00000X · License 604130 (NY)

600 ROE AVE STE 4A, Elmira, NY 14905

Open in Google Maps ↗

Other Names 1

Other Name (5)Phila M Gilbert

Other Identifiers 2

Medicaid04836233NY

Medicaid103382724PA

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

Phila M Sasenbury 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 ID7911271507

PECOS Enrollment IDI20170920002396

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 2

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 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.

238 services208 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.

68 services59 patients

Hospital Affiliations CMS Care Compare

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

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330090

Location600 Roe AvenueElmira, NY 14905 · Chemung County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14905 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

81.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.46

Promoting Interoperability

Improvement Activities

Cost

65.75

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers61 claims61 services$40.99 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

12 suppliers140 claims140 services$88.61 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

11 suppliers139 claims330 services$34.39 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers146 claims610 services$20.20 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

10 suppliers84 claims408 services$15.09 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers213 claims213 services$60.22 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

15 suppliers220 claims220 services$19.36 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

3 suppliers11 claims11 services$9.54 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

16 suppliers277 claims277 services$16.42 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

15 suppliers366 claims1,784 services$2.29 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

9 suppliers29 claims29 services$7.01 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

9 suppliers103 claims103 services$11.53 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier78 claims82 services$16.85 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$40.99 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

6 suppliers66 claims66 services$98.88 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

4 suppliers46 claims47 services$240.91 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers15 claims15 services$163.30 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers163 claims165 services$13.29 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

11 suppliers294 claims295 services$35.89 avg. paid by Medicare

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

2 suppliers95 claims101 services$88.53 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers15 claims15 services$22.35 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 2

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

DR. ASAD NASIR MD

Internal Medicine (Pulmonary Disease)

600 ROE AVE STE 4A
ELMIRA, NY 14905

Chemung County (607) 271-3780

ALEKSANDR KALININSKIY MD

Internal Medicine (Pulmonary Disease)

600 ROE AVE STE 4A
ELMIRA, NY 14905

Chemung County (607) 271-3780

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 Phila Sasenbury's NPI number?

The NPI number for Phila Sasenbury is 1336669043. It was assigned to this individual provider in the NPPES registry on June 23, 2017. The provider is also known as Phila M Gilbert.

Where is Phila Sasenbury located?

Phila Sasenbury practices at 600 Roe Ave Ste 4A, Elmira, NY 14905. The listed phone number is (607) 271-3780.

What is Phila Sasenbury's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Phila Sasenbury enrolled in Medicare?

Yes. Phila Sasenbury 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.

Is Phila Sasenbury affiliated with any hospitals?

According to CMS data, Phila Sasenbury is affiliated with Arnot Ogden Medical Center.

When was this NPI record last updated?

The NPPES record for Phila Sasenbury was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.