MR. JOHN CLANCY SANFORD PA
NPI 1487256293
Physician Assistant in Urbana, OH

Active since November 16, 2020PECOS EnrolledAccepts Medicare Assignment
204 PATRICK AVE, URBANA, OH 43078(937) 653-3445 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Nov 16, 2020 (2 updates tracked since 2020).

About Mr. John Clancy Sanford Pa NPPES

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

MR. JOHN CLANCY SANFORD PA (NPI 1487256293) is an individual physician assistant in Urbana, Ohio and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487256293
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN CLANCY SANFORDCredential: PA
Location Address204 PATRICK AVEUrbana, OH 43078-2302
Mailing Address204 Patrick AveUrbana, OH 43078-2302 · (937) 653-3445 · Fax (937) 484-6181
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 16, 2020
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1487256293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
204 PATRICK AVE, Urbana, OH 43078

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

Mr. John Clancy Sanford Pa 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 ID3971916768
PECOS Enrollment IDI20210115002426
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 3

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 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.
53 services52 patients
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.
30 services28 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Urbana Hospital

Critical Access Hospitals · Urbana, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361312
Location904 Scioto StreetUrbana, OH 43078 · Champaign County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43078 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Counselor (Professional)
204 PATRICK AVE
URBANA, OH 43078
Pediatrics
204 PATRICK AVE
URBANA, OH 43078
Nurse Practitioner (Pediatrics)
204 PATRICK AVE
URBANA, OH 43078
Clinic/Center (Rural Health)
204 PATRICK AVE
URBANA, OH 43078
Nurse Practitioner (Pediatrics)
204 PATRICK AVE
URBANA, OH 43078
Family Medicine
204 PATRICK AVE
URBANA, OH 43078
Social Worker (Clinical)
204 PATRICK AVE
URBANA, OH 43078
Nurse Practitioner (Family)
204 PATRICK AVE
URBANA, OH 43078

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 John Sanford's NPI number?

The NPI number for John Sanford is 1487256293. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Where is John Sanford located?

John Sanford practices at 204 Patrick Ave, Urbana, OH 43078. The listed phone number is (937) 653-3445.

What is John Sanford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Sanford enrolled in Medicare?

Yes. John Sanford 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 John Sanford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list John Sanford 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 John Sanford affiliated with any hospitals?

According to CMS data, John Sanford is affiliated with Springfield Regional Medical Center, Mercy Health - West Hospital and Mercy Health - Urbana Hospital.

When was this NPI record last updated?

The NPPES record for John Sanford was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.