THOMAS R SANFORD MD
NPI 1568489151
Otolaryngology in St. Louis, MO

Q: What is Thomas Sanford's NPI number?

The NPI number for Thomas Sanford is 1568489151. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Thomas Sanford's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sanford was last updated on March 12, 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

1225 S. GRAND, DOOR 3, ST. LOUIS, MO 63104(314) 977-5110(314) 977-7686 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Thomas R Sanford Md NPPES

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

THOMAS R SANFORD MD (NPI 1568489151) is an individual otolaryngology provider in St. Louis, Missouri, licensed in Missouri (109913) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1991).

NPPES Registry Identity

NPI1568489151

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameTHOMAS R SANFORDCredential: MD

Location Address1225 S. GRAND, DOOR 3St. Louis, MO 63104

Mailing Address3691 Rutger Ave, Provider EnrollmentSt Louis, MO 63110 · (314) 977-4440

Phone(314) 977-5110

Fax(314) 977-7686

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1991

Enumeration DateJuly 17, 2006

Last NPPES UpdateMarch 12, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1568489151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MO · 109913

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1225 S. GRAND, St. Louis, MO 63104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Thomas R Sanford 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 ID9032163621

PECOS Enrollment IDI20050607000113

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 11

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

102 services11 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.

73 services49 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

62 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

52 services34 patients

Removal of impacted ear wax 69210

44 services34 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.

28 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 11

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

ANTHONY A MIKULEC MD

Otolaryngology (Otology & Neurotology)

1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104

St. Louis City (314) 977-5110

DR. TERRY LYNN MOORE M.D.

Internal Medicine (Rheumatology)

1225 S. GRAND
ST. LOUIS, MO 63104

St. Louis City (314) 977-8838

COLLIN CHEN M.D.

Otolaryngology

1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104

St. Louis City (314) 977-5110

DR. JOSEPH DAVID BRUNWORTH M.D.

Otolaryngology

1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104

St. Louis City (314) 977-5110

MR. JOSHUA M SAPPINGTON M.D.

Otolaryngology

1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104

St. Louis City (314) 977-5110

MICHELLE P WECKBACH

Speech-Language Pathologist

1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104

St. Louis City (314) 977-5110

AMY E COOLEY NP

Nurse Practitioner

1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104

St. Louis City (314) 977-5110

JOHN F EISENBEIS MD

Otolaryngology

1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104

St. Louis City (314) 977-5110

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 Thomas Sanford's NPI number?

The NPI number for Thomas Sanford is 1568489151. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Thomas Sanford located?

Thomas Sanford practices at 1225 S. Grand Door 3, St. Louis, MO 63104. The listed phone number is (314) 977-5110.

What is Thomas Sanford's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Sanford enrolled in Medicare?

Yes. Thomas 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 Thomas Sanford accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Thomas 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 Thomas Sanford affiliated with any hospitals?

According to CMS data, Thomas Sanford is affiliated with Mercy Hospital St Louis, Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Sanford was last updated on March 12, 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.