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SANDRA CETL M.D.
NPI 1629276092
Pediatrics in Cedar Park, TX

Active since July 06, 2007PECOS Enrolled
1730 E WHITESTONE BLVD STE 101, CEDAR PARK, TX 78613(877) 800-5722 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2025, Mar 4, 2024, Feb 23, 2021 and 3 more (6 updates tracked since 2018).

About Sandra Cetl M.d. NPPES

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

SANDRA CETL M.D. (NPI 1629276092) is an individual pediatrics provider in Cedar Park, Texas, licensed in Texas (R8166) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cedar Park.

NPPES Registry Identity

NPI1629276092
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANDRA CETLCredential: M.D.
Location Address1730 E WHITESTONE BLVD STE 101Cedar Park, TX 78613-7285
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722
Phone(877) 800-5722
Sole ProprietorYes
Enumeration DateJuly 6, 2007
Last NPPES UpdateJune 25, 20256 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1629276092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · R8166✔ Licensed in NV · 13619
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LL1779 (NV)
1730 E WHITESTONE BLVD STE 101, Cedar Park, TX 78613
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Secondary Practice Location 1

Location 11401 Medical Pkwy Ste 311Cedar Park, TX 78613-5014 · Phone (877) 800-5722

Other Identifiers 1

Medicaid386157701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Cetl M.d. 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

2

Medicare enrollment records show Sandra Cetl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lone Star Circle Of Care
Same address
Federally Qualified Health Center (FQHC)
1730 E WHITESTONE BLVD, STE 101
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 162 clinicians in this Medicare group
NPI 1689983066 (877) 800-5722
Pokroy Medical Group Of Nevada, Ltd.
1,083 mi
Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
NPI 1992809412 (702) 733-0981

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

JILL STANLEY MSN, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
1730 E WHITESTONE BLVD STE 101
CEDAR PARK, TX 78613
Williamson County (877) 800-5722

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 Sandra Cetl's NPI number?

The NPI number for Sandra Cetl is 1629276092. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Sandra Cetl located?

Sandra Cetl practices at 1730 E Whitestone Blvd Ste 101, Cedar Park, TX 78613. The listed phone number is (877) 800-5722.

What is Sandra Cetl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sandra Cetl enrolled in Medicare?

Yes. Sandra Cetl is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandra Cetl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Cetl reassigns Medicare benefits to 2 organizations: Lone Star Circle Of Care (Cedar Park, TX) and Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV). 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 Sandra Cetl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Cetl accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Sandra Cetl 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.

When was this NPI record last updated?

The NPPES record for Sandra Cetl was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.