MEGAN KILEY SANDBERG
NPI 1528644309
Family Medicine in Lexington, KY

Q: What is Megan Sandberg's NPI number?

The NPI number for Megan Sandberg is 1528644309. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Megan Sandberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Sandberg was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 22, 2021PECOS EnrolledAccepts Medicare Assignment

2040 HARRODSBURG RD STE 100, LEXINGTON, KY 40503(859) 899-7993 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Jun 25, 2024, Mar 22, 2021 (3 updates tracked since 2021).

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About Megan Kiley Sandberg NPPES

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

MEGAN KILEY SANDBERG (NPI 1528644309) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (59559) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of West Virginia University School Of Medicine (2021).

NPPES Registry Identity

NPI1528644309

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMEGAN KILEY SANDBERG

Location Address2040 HARRODSBURG RD STE 100Lexington, KY 40503-1712

Mailing Address2040 Harrodsburg Rd Ste 100Lexington, KY 40503-1712 · (859) 899-7993

Phone(859) 899-7993

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2021

Enumeration DateMarch 22, 2021

Last NPPES UpdateJuly 26, 20243 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1528644309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 59559

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2040 HARRODSBURG RD STE 100, Lexington, KY 40503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Megan Kiley Sandberg 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 ID5799194122

PECOS Enrollment IDI20240918002109

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 2

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.

23 services19 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.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 3

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

RAEKWON TIMMONS DO

Family Medicine

2040 HARRODSBURG RD STE 100
LEXINGTON, KY 40503

Fayette County (859) 899-7990

MELISSA FAYE BROWN APRN

Nurse Practitioner

2040 HARRODSBURG RD STE 100
LEXINGTON, KY 40503

Fayette County (859) 899-7990

STEVEN HIZON MD

Family Medicine

2040 HARRODSBURG RD STE 100
LEXINGTON, KY 40503

Fayette County (859) 899-7990

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 Megan Sandberg's NPI number?

The NPI number for Megan Sandberg is 1528644309. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Megan Sandberg located?

Megan Sandberg practices at 2040 Harrodsburg Rd Ste 100, Lexington, KY 40503. The listed phone number is (859) 899-7993.

What is Megan Sandberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Megan Sandberg enrolled in Medicare?

Yes. Megan Sandberg 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 Megan Sandberg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Megan Sandberg 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 Megan Sandberg affiliated with any hospitals?

According to CMS data, Megan Sandberg is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Megan Sandberg was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.