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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GAVIN DEREK SANDERS PHD
NPI 1396536132
Psychologist - Clinical in Plano, TX

Active since May 13, 2025PECOS EnrolledAccepts Medicare Assignment
4601 OLD SHEPARD PL STE 201, PLANO, TX 75093(888) 606-0086(346) 223-0296 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, Apr 7, 2026, Jun 5, 2025 and 1 more (4 updates tracked since 2025).

About Dr. Gavin Derek Sanders Phd NPPES

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

DR. GAVIN DEREK SANDERS PHD (NPI 1396536132) is an individual clinical provider in Plano, Texas, licensed in Texas (40538) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396536132
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GAVIN DEREK SANDERSCredential: PHD
Location Address4601 OLD SHEPARD PL STE 201Plano, TX 75093-5269
Mailing Address112 Magnolia Estates DrLeague City, TX 77573-4613 · (888) 606-0086 · Fax (346) 223-0296
Phone(888) 606-0086
Fax(346) 223-0296
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 13, 2025
Last NPPES UpdateSeptember 30, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1396536132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 40538
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4601 OLD SHEPARD PL STE 201, Plano, TX 75093
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Secondary Practice Location 1

Location 18330 Lyndon B Johnson Fwy Ste B555Dallas, TX 75243-1166 · Phone (888) 606-0086 · Fax (346) 223-0296

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company 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. Gavin Derek Sanders Phd 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 ID5092213074
PECOS Enrollment IDI20250808002599
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 Gavin Sanders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurocognitive Specialty Group, PLLC
262 mi
Clinical Neuropsychologist
112 MAGNOLIA ESTATES DR
League City, TX 77573
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1346700275 (888) 606-0086

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 5

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

DR. ERIN SULLIVAN-BACA PHD
Clinical Neuropsychologist
4601 OLD SHEPARD PL STE 201
PLANO, TX 75093
Collin County (888) 606-0086
DR. BRITTANY DANIELLE WALLS PHD
Clinical Neuropsychologist
4601 OLD SHEPARD PL STE 201
PLANO, TX 75093
Collin County (888) 606-0086
DUYEN MY NGHIEM PSYD
Clinical Neuropsychologist
4601 OLD SHEPARD PL STE 201
PLANO, TX 75093
Collin County (888) 606-0086
B WHOLE COSMETIC AESTHETICS
Clinic/Center (Health Service)
4601 OLD SHEPARD PL STE 201
PLANO, TX 75093
Collin County (214) 643-8048
DR. KAYLA DOZIER DC
Chiropractor
4601 OLD SHEPARD PL STE 201
PLANO, TX 75093
Collin County (469) 677-0029

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 Gavin Sanders's NPI number?

The NPI number for Gavin Sanders is 1396536132. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Gavin Sanders located?

Gavin Sanders practices at 4601 Old Shepard Pl Ste 201, Plano, TX 75093. The listed phone number is (888) 606-0086.

What is Gavin Sanders's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gavin Sanders enrolled in Medicare?

Yes. Gavin Sanders 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 Gavin Sanders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gavin Sanders reassigns Medicare benefits to Neurocognitive Specialty Group, PLLC (League City, TX). 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 Gavin Sanders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gavin Sanders accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Gavin Sanders 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 Gavin Sanders was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.