DR. SUSAN LYNN SANDERSON MD
NPI 1417134222
Internal Medicine - Endocrinology, Diabetes & Metabolism in Corvallis, OR

Q: What is Susan Sanderson's NPI number?

The NPI number for Susan Sanderson is 1417134222. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Q: What is Susan Sanderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Susan Sanderson was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 January 23, 2008PECOS Enrolled

3680 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 754-1150(808) 775-9404 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Susan Lynn Sanderson Md NPPES

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

DR. SUSAN LYNN SANDERSON MD (NPI 1417134222) is an individual endocrinology, diabetes & metabolism provider in Corvallis, Oregon, licensed in Oregon (MD156493) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417134222

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SUSAN LYNN SANDERSONCredential: MD

Location Address3680 NW SAMARITAN DRCorvallis, OR 97330-3737

Mailing Address444 Nw Elks DrCorvallis, OR 97330-3745 · (541) 754-1150

Phone(541) 754-1150

Fax(808) 775-9404

Sole ProprietorNo

Enumeration DateJanuary 23, 2008

Last NPPES UpdateApril 3, 2012

✔ NPI 1417134222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in OR · MD156493✔ Licensed in HI · 10607

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

3680 NW SAMARITAN DR, Corvallis, OR 97330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Lynn Sanderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers41 claims41 services$181.31 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.

MS. LAURA LUCZKIW

Dietitian, Registered