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TIMOTHY JOSEPH SANDERS M.D.
NPI 1679799605
Family Medicine in Seneca, SC

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
100 OMNI DR, SUITE A, SENECA, SC 29672(864) 885-7520(864) 885-7521 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy Joseph Sanders M.d. NPPES

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

TIMOTHY JOSEPH SANDERS M.D. (NPI 1679799605) is an individual family medicine provider in Seneca, South Carolina, licensed in South Carolina (LL28973) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (2006).

NPPES Registry Identity

NPI1679799605
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY JOSEPH SANDERSCredential: M.D.
Location Address100 OMNI DR, SUITE ASeneca, SC 29672-9448
Mailing Address1 Independence Pt, Suite 212Greenville, SC 29615-4545 · (864) 797-6044
Phone(864) 885-7520
Fax(864) 885-7521
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2006
Enumeration DateApril 18, 2007
Last NPPES UpdateSeptember 29, 2014
✔ NPI 1679799605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · LL28973
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 OMNI DR, Seneca, SC 29672
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Other Identifiers 4

Other20-8715655SC · Tax Id
MedicaidGP4697SC
Medicaid289734SC
Medicare PIN8768SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Timothy Joseph Sanders 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 ID446305734
PECOS Enrollment IDI20090910000436
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

3

Medicare enrollment records show Timothy Sanders reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ghs Partners In Health, Inc.
Same address
Pediatrics
109 OMNI DR, SUITE B
Seneca, SC 29672
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health University Medical Group
  • Also billed through NPI 1457730814 (South Carolina)
  • 222 clinicians in this Medicare group
NPI 1962854125 (864) 888-4222
Greenville Health System
0.2 mi
General Acute Care Hospital
298 MEMORIAL DR
Seneca, SC 29672
  • Reassigned Medicare billing, South Carolina enrollment
  • 735 clinicians in this Medicare group
NPI 1275941528 (864) 482-3100
Foothills Community Health Care, Inc
9.9 mi
Federally Qualified Health Center (FQHC)
110 LIBERTY DR
Clemson, SC 29631
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1972369643 (South Carolina), NPI 1083169213 (South Carolina)
  • 14 clinicians in this Medicare group
NPI 1538417951 (864) 722-0283

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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Anmed Health

Acute Care Hospitals · Anderson, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420027
Location800 N Fant StAnderson, SC 29621 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29672 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

TRACIE D SMITH N.P.
Nurse Practitioner
100 OMNI DR, SUITE B
SENECA, SC 29672
Oconee County (864) 482-2350

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 Timothy Sanders's NPI number?

The NPI number for Timothy Sanders is 1679799605. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Timothy Sanders located?

Timothy Sanders practices at 100 Omni Dr Suite A, Seneca, SC 29672. The listed phone number is (864) 885-7520.

What is Timothy Sanders's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Sanders enrolled in Medicare?

Yes. Timothy Sanders 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 organizations bill Medicare for Timothy Sanders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Sanders reassigns Medicare benefits to 3 organizations: Ghs Partners In Health, Inc. (Seneca, SC), Greenville Health System (Seneca, SC) and Foothills Community Health Care, Inc (Clemson, SC). 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 Timothy Sanders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Sanders accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Timothy Sanders 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 Timothy Sanders affiliated with any hospitals?

According to CMS data, Timothy Sanders is affiliated with Prisma Health Oconee Memorial Hospital and Anmed Health.

When was this NPI record last updated?

The NPPES record for Timothy Sanders was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.