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JULIA SANGER MD
NPI 1386266971
Family Medicine in Pittston, PA

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
85.27/100
CMS Quality Rating
42 N MAIN ST, PITTSTON, PA 18640(570) 654-0880(570) 655-9857 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2025, Aug 14, 2023, May 18, 2020 (3 updates tracked since 2020).

About Julia Sanger Md NPPES

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

JULIA SANGER MD (NPI 1386266971) is an individual family medicine provider in Pittston, Pennsylvania, licensed in Pennsylvania (MD481492) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2020).

NPPES Registry Identity

NPI1386266971
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIA SANGERCredential: MD
Location Address42 N MAIN STPittston, PA 18640-1916
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 654-0880 · Fax (570) 655-9857
Phone(570) 654-0880
Fax(570) 655-9857
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2020
Enumeration DateMay 18, 2020
Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1386266971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD481492
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
42 N MAIN ST, Pittston, PA 18640
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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

Julia Sanger 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 ID5395156988
PECOS Enrollment IDI20230711003428
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 8

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.
297 services180 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
68 services66 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.
60 services53 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.
22 services22 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18640 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

85.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.55
Promoting Interoperability100
Improvement Activities40
Cost75.29

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.

IMAN BEN HAMZA DO
Family Medicine
42 N MAIN ST
PITTSTON, PA 18640
Luzerne County (570) 654-0880
MISS MICHELLE SCHMID PA-C
Physician Assistant
42 N MAIN ST
PITTSTON, PA 18640
Luzerne County (570) 602-5610
ERIN CHESNAVICH PA-C
Physician Assistant
42 N MAIN ST
PITTSTON, PA 18640
Luzerne County (570) 602-5610
MS. ANN MARIE BANELLIS CRNP
Nurse Practitioner
42 N MAIN ST
PITTSTON, PA 18640
Luzerne County (570) 654-0880
LISA KAREN MUCHLER APRN
Nurse Practitioner
42 N MAIN ST
PITTSTON, PA 18640
Luzerne County (570) 602-5610
ANTHONY CHRISTENSEN GUARIGLIA JR. PA-C
Physician Assistant
42 N MAIN ST
PITTSTON, PA 18640
Luzerne County (570) 654-0880
NANCY PALMIGIANO PA-C
Physician Assistant
42 N MAIN ST
PITTSTON, PA 18640
Luzerne County (570) 602-5610
MS. MEGAN J. KELLY PA-C
Physician Assistant
42 N MAIN ST
PITTSTON, PA 18640
Luzerne County (570) 654-0880

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 Julia Sanger's NPI number?

The NPI number for Julia Sanger is 1386266971. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Julia Sanger located?

Julia Sanger practices at 42 N Main St, Pittston, PA 18640. The listed phone number is (570) 654-0880.

What is Julia Sanger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Julia Sanger enrolled in Medicare?

Yes. Julia Sanger 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 Julia Sanger affiliated with any hospitals?

According to CMS data, Julia Sanger is affiliated with Geisinger-Community Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Julia Sanger was last updated on August 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.