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FRANCIS MADRINAN SANCHEZ M.D.
NPI 1639101934
Psychiatry & Neurology - Psychiatry in West Burlington, IA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1225 S GEAR AVE, SUITE 251 MERCY PLAZA, WEST BURLINGTON, IA 52655(319) 768-3700 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2021, Feb 10, 2016 (2 updates tracked since 2016).

About Francis Madrinan Sanchez M.d. NPPES

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

FRANCIS MADRINAN SANCHEZ M.D. (NPI 1639101934) is an individual psychiatry provider in West Burlington, Iowa, licensed in South Carolina (26795) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1639101934
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameFRANCIS MADRINAN SANCHEZCredential: M.D.
Location Address1225 S GEAR AVE, SUITE 251 MERCY PLAZAWest Burlington, IA 52655-1691
Mailing Address1225 S Gear Ave, Suite 251 Mercy PlazaWest Burlington, IA 52655-1691 · (319) 768-3700
Phone(319) 768-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1639101934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 26795
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1225 S GEAR AVE, West Burlington, IA 52655
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Other Identifiers 1

Medicaid267954SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, 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

Francis Madrinan Sanchez M.d. 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 ID9335113802
PECOS Enrollment IDI20070926000254
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 6

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.
212 services86 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
117 services56 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
104 services76 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
48 services27 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
48 services21 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
24 services14 patients

Hospital Affiliations CMS Care Compare

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$161.40 typical visit price
range $52.96 – $161.40
Typical copayment $40.35 (range $13.24 – $40.35)
Most-billed visit code 99205
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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.

LISA ANN LAKE DNP
Nurse Practitioner (Family)
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1570
DR. JENNIFER K BERGE M.D.
Otolaryngology
1225 S GEAR AVE, STE 255
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-2725
RAJ BHUI
Family Medicine
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1570
RICHARD E WHITAKER LMFT
Counselor (Mental Health)
1225 S GEAR AVE, STE 252
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3700
DR. EUGENE R PANKEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1225 S GEAR AVE, MERCY PLZ STE 156
W BURLINGTON, IA 52655
Des Moines County (319) 752-2659
ANEESH NEEKHRA MD
Psychiatry & Neurology (Neurology)
1225 S GEAR AVE, SUITE 153, MERCY PLAZA
WEST BURLINGTON, IA 52655
Des Moines County (319) 754-4400
JAMESON ORTHOPEDIC CLINIC PC
Orthopaedic Surgery
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-4553
MARY CATHERINE BENTLER P.A.
Physician Assistant
1225 S GEAR AVE, SUITE 153
WEST BURLINGTON, IA 52655
Des Moines County (319) 754-4400

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 Francis Sanchez's NPI number?

The NPI number for Francis Sanchez is 1639101934. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Francis Sanchez located?

Francis Sanchez practices at 1225 S Gear Ave Suite 251 Mercy Plaza, West Burlington, IA 52655. The listed phone number is (319) 768-3700.

What is Francis Sanchez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Francis Sanchez enrolled in Medicare?

Yes. Francis 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 Francis Sanchez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Francis 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 Francis Sanchez affiliated with any hospitals?

According to CMS data, Francis Sanchez is affiliated with Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Francis Sanchez was last updated on March 30, 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.