DR. MICHAEL ANTHONY SANCHEZ MD
NPI 1538329602
Internal Medicine - Pulmonary Disease in Baton Rouge, LA

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
87.37/100
CMS Quality Rating
8585 PICARDY AVE, STE 313, BATON ROUGE, LA 70809(225) 381-2755(225) 381-2759 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2024, Jul 14, 2017, Feb 3, 2017 (3 updates tracked since 2017).

About Dr. Michael Anthony Sanchez Md NPPES

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

DR. MICHAEL ANTHONY SANCHEZ MD (NPI 1538329602) is an individual pulmonary disease provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.203228) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2008).

NPPES Registry Identity

NPI1538329602
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHAEL ANTHONY SANCHEZCredential: MD
Location Address8585 PICARDY AVE, STE 313Baton Rouge, LA 70809
Mailing AddressPo Box 919237Dallas, TX 75391-9237 · (225) 381-2755 · Fax (225) 381-2759
Fax(225) 381-2759
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2008
Enumeration DateJune 12, 2008
Last NPPES UpdateJune 14, 20243 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
NPI 1538329602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in LA · MD.203228
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.203228 (LA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD.203228 (LA)
8585 PICARDY AVE, Baton Rouge, LA 70809

Other Identifiers 1

Medicaid1102253LA

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. Michael Anthony Sanchez 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 ID1658685417
PECOS Enrollment IDI20150806012150
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
185 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
179 services85 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.
32 services25 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

87.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.52
Promoting Interoperability100
Improvement Activities40
Cost55.04

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$13.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers40 claims42 services$51.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
Emergency Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
Durable Medical Equipment & Medical Supplies
8585 PICARDY AVE
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8585 PICARDY AVE
BATON ROUGE, LA 70809
Emergency Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
Pediatrics (Neonatal-Perinatal Medicine)
8585 PICARDY AVE
BATON ROUGE, LA 70809
Surgery (Vascular Surgery)
8585 PICARDY AVE, SUITE 310
BATON ROUGE, LA 70809
Obstetrics & Gynecology
8585 PICARDY AVE
BATON ROUGE, LA 70809

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 Michael Sanchez's NPI number?

The NPI number for Michael Sanchez is 1538329602. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Michael Sanchez located?

Michael Sanchez practices at 8585 Picardy Ave Ste 313, Baton Rouge, LA 70809. The listed phone number is (225) 381-2755.

What is Michael Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Sanchez enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Sanchez accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Michael Sanchez 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 Michael Sanchez affiliated with any hospitals?

According to CMS data, Michael Sanchez is affiliated with Our Lady Of The Lake Regional Medical Center and Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Sanchez was last updated on June 14, 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.