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RAMON M SANCHEZ M.D.
NPI 1487678116
Psychiatry & Neurology - Neurology in Atlanta, GA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
99.7/100
CMS Quality Rating
5730 GLENRIDGE DR STE 220, ATLANTA, GA 30328(404) 255-5330(404) 255-5416 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ramon M Sanchez M.d. NPPES

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

RAMON M SANCHEZ M.D. (NPI 1487678116) is an individual neurology provider in Atlanta, Georgia, licensed in Georgia (033442) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1980).

NPPES Registry Identity

NPI1487678116
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRAMON M SANCHEZCredential: M.D.
Location Address5730 GLENRIDGE DR STE 220Atlanta, GA 30328-5579
Mailing AddressPo Box 420297Atlanta, GA 30342-0297 · (404) 255-5330 · Fax (404) 255-5416
Phone(404) 255-5330
Fax(404) 255-5416
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1980
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1487678116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 033442
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5730 GLENRIDGE DR STE 220, Atlanta, GA 30328
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Other Identifiers 1

OtherGRP2400GA · Medicare Group Number

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

Ramon M Sanchez M.d. 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 ID3971631342
PECOS Enrollment IDI20100505000298
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
481 services122 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
38 services35 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

99.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Advance Care Plan
98%225 patients4/55-star benchmark: 100%
Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease
100%56 patients5/55-star benchmark: 100%
Assessment of Mood Disorders and Psychosis for Patients with Parkinson's Disease
100%56 patients
Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy
97%35 patients
e-Prescribing
100%1,602 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%519 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
97%280 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 404 patients
Patients screened: 100% · 404 patients
100%21 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 100% · 404 patients
Patients screened: 100% · 404 patients
100%29 patients
Provide Patients Electronic Access to Their Health Information
99%290 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

PEACHTREE NEUROLOGY ASSOCIATES, P.C.
Psychiatry & Neurology (Neurology)
5730 GLENRIDGE DR STE 220
ATLANTA, GA 30328
Fulton County (404) 255-5330

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 Ramon Sanchez's NPI number?

The NPI number for Ramon Sanchez is 1487678116. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Ramon Sanchez located?

Ramon Sanchez practices at 5730 Glenridge Dr Ste 220, Atlanta, GA 30328. The listed phone number is (404) 255-5330.

What is Ramon Sanchez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ramon Sanchez enrolled in Medicare?

Yes. Ramon Sanchez 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.

Is Ramon Sanchez affiliated with any hospitals?

According to CMS data, Ramon Sanchez is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ramon Sanchez was last updated on September 1, 2020. 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.