STEVEN BYRON SANFORD M.D.
NPI 1669565156
Orthopaedic Surgery - Hand Surgery in Marshfield, WI

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5511 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Steven Byron Sanford M.d. NPPES

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

STEVEN BYRON SANFORD M.D. (NPI 1669565156) is an individual hand surgery provider in Marshfield, Wisconsin, licensed in Wisconsin (33427) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1669565156
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameSTEVEN BYRON SANFORDCredential: M.D.
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 2, 2006
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1669565156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in WI · 33427
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 33427 (WI)
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 98-01476 (NC)
1000 N OAK AVE, Marshfield, WI 54449

Other Identifiers 4

Other1150VNC · Blue Cross Blue Shield Nc
Other5600659Aetna
Other6466170Cigna
Medicaid891105VNC

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

Steven Byron Sanford 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 ID42279614
PECOS Enrollment IDI20130314000174
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 8

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.

New patient office or other outpatient visit, 45-59 minutes 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.
40 services40 patients
New patient office or other outpatient visit, 45-59 minutes 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.
21 services21 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
19 services19 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
18 services17 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
13 services11 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

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.

Genetic Counselor, MS
1000 N OAK AVE, MARSHFIELD CLINIC; 3C1
MARSHFIELD, WI 54449
Genetic Counselor, MS
1000 N OAK AVE, 3C1
MARSHFIELD, WI 54449
Genetic Counselor, MS
1000 N OAK AVE, DEPT OF MEDICAL GENETICS - 3C1
MARSHFIELD, WI 54449
Pediatrics (Pediatric Critical Care Medicine)
1000 N OAK AVE
MARSHFIELD, WI 54449
Internal Medicine (Nephrology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Social Worker
1000 N OAK AVE
MARSHFIELD, WI 54449
Nuclear Medicine (Nuclear Imaging & Therapy)
1000 N OAK AVE
MARSHFIELD, WI 54449
Psychiatry & Neurology (Neurology)
1000 N OAK AVE
MARSHFIELD, WI 54449

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 Steven Sanford's NPI number?

The NPI number for Steven Sanford is 1669565156. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Steven Sanford located?

Steven Sanford practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5511.

What is Steven Sanford's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Steven Sanford enrolled in Medicare?

Yes. Steven 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 Steven Sanford accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Steven 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 Steven Sanford affiliated with any hospitals?

According to CMS data, Steven Sanford is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Sanford was last updated on January 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.