DR. PATRICK W SANDER MD
NPI 1427233394
Orthopaedic Surgery in Edinburg, TX

Active since January 09, 2008PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
5540 RAPHAEL DR, EDINBURG, TX 78539(956) 362-6683(956) 362-6818 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Patrick W Sander Md NPPES

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

DR. PATRICK W SANDER MD (NPI 1427233394) is an individual orthopaedic surgery provider in Edinburg, Texas, licensed in Texas (N2773) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of University Of Texas Medical School At Houston (2004).

NPPES Registry Identity

NPI1427233394
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PATRICK W SANDERCredential: MD
Location Address5540 RAPHAEL DREdinburg, TX 78539-1407
Mailing Address5540 Raphael DrEdinburg, TX 78539-1407 · (956) 362-6683 · Fax (956) 362-6818
Fax(956) 362-6818
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2004
Enumeration DateJanuary 9, 2008
Last NPPES UpdateApril 30, 2018
NPI 1427233394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · N2773
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5540 RAPHAEL DR, Edinburg, TX 78539

Accepted Insurance

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

Dr. Patrick W Sander 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 ID941342679
PECOS Enrollment IDI20100119000502
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.
123 services88 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
94 services70 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
84 services69 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.
69 services69 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.
49 services39 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
43 services36 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.52
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physical Therapist
5540 RAPHAEL DR
EDINBURG, TX 78539
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5540 RAPHAEL DR
EDINBURG, TX 78539
Orthopaedic Surgery
5540 RAPHAEL DR
EDINBURG, TX 78539
Physician Assistant
5540 RAPHAEL DR
EDINBURG, TX 78539
Physician Assistant
5540 RAPHAEL DR
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5540 RAPHAEL DR
EDINBURG, TX 78539
Orthopaedic Surgery (Sports Medicine)
5540 RAPHAEL DR
EDINBURG, TX 78539
Physical Therapist
5540 RAPHAEL DR
EDINBURG, TX 78539

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 Patrick Sander's NPI number?

The NPI number for Patrick Sander is 1427233394. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Patrick Sander located?

Patrick Sander practices at 5540 Raphael Dr, Edinburg, TX 78539. The listed phone number is (956) 362-6683.

What is Patrick Sander's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Patrick Sander enrolled in Medicare?

Yes. Patrick Sander 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.

What insurance does Patrick Sander accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Patrick Sander 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 Patrick Sander affiliated with any hospitals?

According to CMS data, Patrick Sander is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Patrick Sander was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.