ESPERANZA C SANCHEZ MD
NPI 1528004736
Emergency Medicine in Gallup, NM

Active since June 22, 2006PECOS Enrolled
73.12/100
CMS Quality Rating
516 E. NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 722-1705 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Esperanza C Sanchez Md NPPES

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

ESPERANZA C SANCHEZ MD (NPI 1528004736) is an individual emergency medicine provider in Gallup, New Mexico, licensed in New Mexico (2003-0521) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528004736
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameESPERANZA C SANCHEZCredential: MD
Location Address516 E. NIZHONI BLVD.Gallup, NM 87301-1337
Mailing Address516 Nizhoni Blvd, Emergency Department At GimcGallup, NM 87301-5748 · (505) 722-1000 · Fax (505) 722-1505
Fax(505) 722-1705
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateMay 16, 2012
✔ NPI 1528004736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · 2003-0521
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
516 E. NIZHONI BLVD., Gallup, NM 87301

Other Identifiers 5

Medicare PINNM302970NM
Medicare UPINH94635
Other8HBR23TX · Medicare
Medicaid803115AZ
Medicaid97372382NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Esperanza C Sanchez 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Esperanza Sanchez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
516 E. NIZHONI BLVD.
Gallup, NM 87301
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
Emergency Medicine
1901 RED ROCK DR
Gallup, NM 87301
  • Reassigned Medicare billing, New Mexico enrollment
  • 37 clinicians in this Medicare group
Clinic/Center
3 NAVARRE STREET
Thoreau, NM 87323
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dhhs Phs Naihs Crownpoint Hospital
  • 265 clinicians in this Medicare group
Emergency Medicine
240 HIGHLAND DR
Many, LA 71449
  • Reassigned Medicare billing, New Mexico enrollment
  • 152 clinicians in this Medicare group
Internal Medicine
200 W TYLER AVE
West Memphis, AR 72301
  • Reassigned Medicare billing, New Mexico enrollment
  • 56 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
48 services46 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services19 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

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.

Dentist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
Pediatrics
516 E. NIZHONI BLVD.
GALLUP, NM 87301
Physician Assistant
516 E. NIZHONI BLVD.
GALLUP, NM 87301
Audiologist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
Registered Nurse
516 E. NIZHONI BLVD.
GALLUP, NM 87301
Family Medicine
516 E. NIZHONI BLVD.
GALLUP, NM 87301
Orthopaedic Surgery
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
Dental Hygienist
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301

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 Esperanza Sanchez's NPI number?

The NPI number for Esperanza Sanchez is 1528004736. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Esperanza Sanchez located?

Esperanza Sanchez practices at 516 E. Nizhoni Blvd., Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Esperanza Sanchez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Esperanza Sanchez enrolled in Medicare?

Yes. Esperanza Sanchez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Esperanza Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esperanza Sanchez reassigns Medicare benefits to 5 organizations: Dhhs,phs,naihs, Gallup Indian Medical Center (Gallup, NM), Fep West LLC (Gallup, NM), Thoreau Clinic (Thoreau, NM), Emergency Staffing Solutions Inc (Many, LA) and Hospital Care Consultants Region II Inc (West Memphis, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Esperanza Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Esperanza Sanchez was last updated on May 16, 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.