JEREMY DREW SANDERSON, MD, PA
NPI 1609112358
Plastic Surgery in Flower Mound, TX

Active since December 28, 2012
4370 MEDICAL ARTS DR, SUITE 200, FLOWER MOUND, TX 75028(972) 691-7900(972) 691-7910 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeremy Drew Sanderson, Md, Pa NPPES

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

JEREMY DREW SANDERSON, MD, PA (NPI 1609112358) is a healthcare organization registered as a plastic surgery in Flower Mound, Texas and active in the NPI registry since December 2012. The organization lists Jeremy Drew Sanderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1609112358
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameJEREMY DREW SANDERSON, MD, PA
Location Address4370 MEDICAL ARTS DR, SUITE 200Flower Mound, TX 75028-1712
Mailing Address6101 Long Prairie Rd, Suite 744-281Flower Mound, TX 75028-6221 · (972) 691-7900 · Fax (972) 691-7910
Fax(972) 691-7910
Organization SubpartNo
Authorized OfficialJeremy Drew SandersonOwner · (210) 837-4524
Enumeration DateDecember 28, 2012
Last NPPES UpdateJune 26, 2013
✔ NPI 1609112358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in TX · P2164
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License P2164 (TX)
4370 MEDICAL ARTS DR, Flower Mound, TX 75028

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Drew Sanderson, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jeremy Drew Sanderson, MD, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Plastic and Reconstructive Surgery
NPI 1679792048
4370 MEDICAL ARTS DR SUITE 200
Flower Mound, TX 75028
(972) 691-7900
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1528035482
3851 ROGER BROOKE DR
San Antonio, TX 78234
(210) 916-4141
✔ PECOS260 mi

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

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 Jeremy Drew Sanderson, MD, PA's NPI number?

The NPI number for Jeremy Drew Sanderson, MD, PA is 1609112358. It was assigned to this organization in the NPPES registry on December 28, 2012.

Where is Jeremy Drew Sanderson, MD, PA located?

Jeremy Drew Sanderson, MD, PA is located at 4370 Medical Arts Dr Suite 200, Flower Mound, TX 75028. The listed phone number is (972) 691-7900.

What is Jeremy Drew Sanderson, MD, PA's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jeremy Drew Sanderson, MD, PA enrolled in Medicare?

Yes. Jeremy Drew Sanderson, MD, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeremy Drew Sanderson, MD, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Jeremy Drew Sanderson, MD, PA. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Drew Sanderson, MD, PA was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.