DR. XAVIER ALEJANDRO SANCHEZ D.P.M.
NPI 1407117518
Podiatrist - Foot & Ankle Surgery in West Palm Beach, FL

NPI Status: Active since June 05, 2012

Contact Information

8645 N MILITARY TRL STE 501
WEST PALM BEACH, FL
ZIP 33410
Phone: (561) 838-7250
Fax: (561) 619-2928

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  • Individual
  • Male
  • Years of Experience 13
  • Podiatrist
  • Foot & Ankle Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About XAVIER SANCHEZ

Xavier Sanchez is a provider established in West Palm Beach, Florida and his medical specialization is Podiatrist with a focus in foot & ankle surgery with more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1407117518 assigned on June 2012. The practitioner's primary taxonomy code is 213ES0103X with license number PO3713 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1407117518
Provider Name
DR. XAVIER ALEJANDRO SANCHEZ D.P.M.
Gender
Male
Entity Type
Individual
Location Address
8645 N MILITARY TRL STE 501 WEST PALM BEACH, FL 33410
Location Phone
(561) 838-7250
Location Fax
(561) 619-2928
Mailing Address
8645 N MILITARY TRL STE 501 WEST PALM BEACH, FL 33410
Mailing Phone
(561) 838-7250
Mailing Fax
(561) 619-2928
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
06-05-2012
Last Update Date
08-14-2023
Code Navigator

Xavier Sanchez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
PO3713
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Cigna Healthcare

    • Connect Bronze 0 Indiv Med Deductible - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 2500 Indiv Med Deductible - EPO
    • Connect Gold 500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 3000 Indiv Med Deductible - EPO
    • Connect Silver 4000 Indiv Med Deductible - EPO
    • Connect Silver 5000 Indiv Med Deductible - EPO
    • Connect Silver 9100 Indiv Med Deductible - EPO
    • Connect Silver CMS Standard - EPO
  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) - PPO
    • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) - PPO
    • BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) - EPO
  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
    • Silver 9 - HMO
  • Oscar Insurance Company of Florida

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Elite + Specialist Saver Plus - EPO
    • Bronze Elite Saver Plus - EPO
    • Gold Classic - EPO
    • Gold Classic Standard - EPO
    • Gold Elite - EPO
    • Gold Elite Saver Plus - EPO
    • Secure - EPO
    • Silver Classic - EPO
    • Silver Classic Standard - EPO
    • Silver Elite - EPO
    • Silver Elite Saver Plus - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Xavier Sanchez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9830406453

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150915001657

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 103

    Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

  • 86

    X-ray of foot, minimum of 3 views (HCPCS:73630)

  • 82

    Removal of skin and tissue (HCPCS:11045)

  • 40

    Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Xavier Sanchez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PALM BEACH GARDENS MEDICAL CENTER3360 BURNS RD
PALM BEACH GARDENS, FL 33410
(561) 622-1411Acute Care Hospitals

Reviews for DR. XAVIER ALEJANDRO SANCHEZ D.P.M.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407117518
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407211452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 2 + 1 + 1 + 4 + 5 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1407117518 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952699746DR. ALDO M GONZALEZ DPM
Individual
Podiatrist (Foot & Ankle Surgery)8645 N MILITARY TRL STE 501
WEST PALM BEACH, FL 33410
(561) 838-7250
1326504416ORTHO FLORIDA, LLC
Organization
Podiatrist (Foot & Ankle Surgery)8645 N MILITARY TRL STE 501
WEST PALM BEACH, FL 33410
(561) 838-7250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407117518, enumerated in the NPI registry as an "individual" on June 05, 2012

The provider is located at 8645 N Military Trl Ste 501 West Palm Beach, Fl 33410 and the phone number is (561) 838-7250

The provider's speciality is Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider has more than 13 years of experience.

The provider might be accepting Accepts: Cigna Healthcare, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

The most common procedures or services performed by this practitioner are: Removal of skin and tissue first 20 sq cm or less, X-ray of foot, minimum of 3 views, Removal of skin and tissue and Removal of tissue from 6 or more finger or toe nails.

The practitioner is affiliated to the following hospital(s): PALM BEACH GARDENS MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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