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DR. JOSUE SANCHEZ MD
NPI 1366905176
Internal Medicine in Greenville, NC

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-1111 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2023, Apr 9, 2019 (2 updates tracked since 2019).

About Dr. Josue Sanchez Md NPPES

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

DR. JOSUE SANCHEZ MD (NPI 1366905176) is an individual internal medicine provider in Greenville, North Carolina, licensed in North Carolina (2023-00881) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366905176
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSUE SANCHEZCredential: MD
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing Address830 Rockford StMount Airy, NC 27030-5322 · (336) 719-7000
Phone(252) 744-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1366905176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2023-00881
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2100 STANTONSBURG RD, Greenville, NC 27834
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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. Josue Sanchez 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 ID840525887
PECOS Enrollment IDI20230728000306
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 Josue Sanchez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Hospital Of Surry County
190 mi
Internal Medicine
830 ROCKFORD ST
Mount Airy, NC 27030
  • Reassigned Medicare billing, North Carolina enrollment
  • 42 clinicians in this Medicare group
NPI 1114467404 (336) 719-7000

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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
240 services106 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
104 services52 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
81 services75 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier12 claims12 services$10.73 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier17 claims17 services$24.25 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 20

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

DR. STEPHEN ERIC GREGG M.D.
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5262
DR. TYLER RICHARD FLEMING MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
MARY CLAIRE CRON PA-C
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 816-2273
JASMINE SHA'DEY HOLMES MD
Emergency Medicine (Sports Medicine)
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
DR. SETH TYLER SCHIPINSKI DO
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-4611
BRIANNAE THEODORE
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
SHELLEY ELIZABETH MATTHEWS
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (910) 298-3125
LEONARDO JOSE DIAZ GANDICA MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5291

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 Josue Sanchez's NPI number?

The NPI number for Josue Sanchez is 1366905176. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Josue Sanchez located?

Josue Sanchez practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 744-1111.

What is Josue Sanchez's specialty?

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

Is Josue Sanchez enrolled in Medicare?

Yes. Josue Sanchez 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.

Which organization bills Medicare for Josue Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josue Sanchez reassigns Medicare benefits to Northern Hospital Of Surry County (Mount Airy, NC). The 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 Josue Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josue Sanchez accept?

Health plans from Cigna Healthcare list Josue 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.

Is Josue Sanchez affiliated with any hospitals?

According to CMS data, Josue Sanchez is affiliated with Northern Regional Hospital and Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Josue Sanchez was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.