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

Active since October 02, 2006PECOS Enrolled
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: October 18, 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.

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
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Byron Sanford 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

6

Medicare enrollment records show Steven Sanford reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Same address
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 5

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 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.
50 services50 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.
37 services37 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.
37 services29 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.
19 services15 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.
19 services18 patients

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.

Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Student in an Organized Health Care Education/Training Program
1000 N OAK AVE
MARSHFIELD, WI 54449
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Radiology (Vascular & Interventional Radiology)
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 enrollment system.

Which organizations bill Medicare for Steven Sanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Sanford reassigns Medicare benefits to 6 organizations: Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, listed in the Medicare section above. 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 Steven Sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Steven Sanford was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.