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DR. AMY N SANFORD M.D.
NPI 1679708283
Internal Medicine - Hematology & Oncology in Sioux Falls, SD

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1309 W 17TH ST, STE 101, SIOUX FALLS, SD 57104(605) 328-8000(605) 328-8001 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Amy N Sanford M.d. NPPES

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

DR. AMY N SANFORD M.D. (NPI 1679708283) is an individual hematology & oncology provider in Sioux Falls, South Dakota, licensed in South Dakota (9480) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1679708283
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. AMY N SANFORDCredential: M.D.
Location Address1309 W 17TH ST, STE 101Sioux Falls, SD 57104-4663
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-8000
Fax(605) 328-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 27, 2009
Last NPPES UpdateSeptember 4, 2015
✔ NPI 1679708283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in SD · 9480
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License R-8617 (IA), 9480 (SD)
1309 W 17TH ST, Sioux Falls, SD 57104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Dr. Amy N 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 ID7517107063
PECOS Enrollment IDI20150924001442
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 Reassignment

Medicare enrollment records show Amy Sanford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera Mckennan
1.2 mi
Internal Medicine
300 N DAKOTA AVE., STE. 117
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1083894067 (605) 322-6800

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 7

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 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.
404 services83 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.
117 services66 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
106 services106 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
43 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux County
Emergency services

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN
OwnershipGovernment - Local
CMS Certification Number241374
Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County
Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431340
Location525 N FosterMitchell, SD 57301 · Davison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.72
Promoting Interoperability97.84
Improvement Activities40

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.

CHELSEY ZONDERVAN CNP
Nurse Practitioner (Family)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
KIMBERLY CAYE NIEMANN CNP
Nurse Practitioner
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
KRISTEN K MAUGHAN MS,RDN,LDN
Dietitian, Registered
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
MICHELE M LOHR M.D.
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-6001
RYAN K NOWAK MD
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-6001
LARISSA L RISTY CGC
Genetic Counselor, MS
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-4641
SUSAN J HALBRITTER CNP
Nurse Practitioner
1309 W 17TH ST, STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
ASHLEY KAY HEUPEL CNP
Nurse Practitioner (Acute Care)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000

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 Amy Sanford's NPI number?

The NPI number for Amy Sanford is 1679708283. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Amy Sanford located?

Amy Sanford practices at 1309 W 17th St Ste 101, Sioux Falls, SD 57104. The listed phone number is (605) 328-8000.

What is Amy Sanford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Amy Sanford enrolled in Medicare?

Yes. Amy 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.

Which organization bills Medicare for Amy Sanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Sanford reassigns Medicare benefits to Avera Mckennan (Sioux Falls, SD). The 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 Amy Sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Sanford accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 2 other insurers list Amy 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 Amy Sanford affiliated with any hospitals?

According to CMS data, Amy Sanford is affiliated with Lakes Regional Healthcare, Sioux Center Health, Pipestone County Medical Center, Avera Mckennan Hospital & University Health Center and Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Amy Sanford was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.