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DR. SANDRA A HORVATH-DORI M.D.
NPI 1689666927
Internal Medicine - Rheumatology in Kennewick, WA

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
6710 W OKANOGAN PL, KENNEWICK, WA 99336(509) 942-2528(509) 942-2544 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2025, Sep 15, 2021, Aug 11, 2021 and 3 more (6 updates tracked since 2018).

About Dr. Sandra A Horvath-dori M.d. NPPES

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

DR. SANDRA A HORVATH-DORI M.D. (NPI 1689666927) is an individual rheumatology provider in Kennewick, Washington, licensed in Washington (MD61187446) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1689666927
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SANDRA A HORVATH-DORICredential: M.D.
Location Address6710 W OKANOGAN PLKennewick, WA 99336-8001
Mailing Address256 Window Rock CtGrand Junction, CO 81507-1165 · (970) 208-4784 · Fax (970) 298-5905
Phone(509) 942-2528
Fax(509) 942-2544
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 22, 2005
Last NPPES UpdateDecember 19, 20256 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1689666927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in WA · MD61187446✔ Licensed in CO · 37962✔ Licensed in SC · 85146
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
6710 W OKANOGAN PL, Kennewick, WA 99336
Open in Google Maps ↗

Other Identifiers 5

Other37962CO · Colorado License
OtherP00160112CO · Railroad Medicare
Medicaid45331341CO
OtherSCI9875019SC · Medicare Pin
MedicaidG38805SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota, CareSource 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. Sandra A Horvath-dori 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 ID5092606848
PECOS Enrollment IDI20210915003371
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 Sandra Horvath-dori reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kadlec Regional Medical Center
1.3 mi
Orthopaedic Surgery
1351 FOWLER ST
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • 454 clinicians in this Medicare group
NPI 1194263608 (509) 946-1654
Community Hospital Of Anaconda
300 mi
Surgery
401 W PENNSYLVANIA ST
Anaconda, MT 59711
  • Reassigned Medicare billing, Montana enrollment
  • 104 clinicians in this Medicare group
NPI 1639345341 (406) 563-8528
Aspen Valley Hospital District
778 mi
Urgent Care
234 CODY LN
Basalt, CO 81621
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1518960814 (Colorado)
  • 82 clinicians in this Medicare group
NPI 1396986261 (970) 544-1250

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 3

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.
207 services130 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.
112 services84 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 5

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

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Barrett Hospital & Healthcare

Critical Access Hospitals · Dillon, MT
OwnershipGovernment - Hospital District or Authority
CMS Certification Number271318
Location600 Mt Hwy 91 SDillon, MT 59725 · Beaverhead County
Emergency services Birthing friendly

Community Hospital Of Anaconda

Critical Access Hospitals · Anaconda, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271335
Location401 W PennsylvaniaAnaconda, MT 59711 · Deer Lodge County
Emergency services Birthing friendly

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
6710 W OKANOGAN PL, ROOM LABORATORY
KENNEWICK, WA 99336
Benton County (509) 308-2306
JASPREET KAUR KALER M.D.
Internal Medicine (Rheumatology)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528
AVEENA GURUNG MD
Internal Medicine (Rheumatology)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528
DR. JOHN MCCORMICK M.D.
Internal Medicine (Rheumatology)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528
ROSA MARGARITA CASILLAS ARNP
Nurse Practitioner (Adult Health)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528

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 Sandra Horvath-dori's NPI number?

The NPI number for Sandra Horvath-dori is 1689666927. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Sandra Horvath-dori located?

Sandra Horvath-dori practices at 6710 W Okanogan Pl, Kennewick, WA 99336. The listed phone number is (509) 942-2528.

What is Sandra Horvath-dori's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sandra Horvath-dori enrolled in Medicare?

Yes. Sandra Horvath-dori 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 Sandra Horvath-dori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Horvath-dori reassigns Medicare benefits to 3 organizations: Kadlec Regional Medical Center (Richland, WA), Community Hospital Of Anaconda (Anaconda, MT) and Aspen Valley Hospital District (Basalt, CO). 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 Sandra Horvath-dori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Horvath-dori accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, CareSource, Cigna Healthcare and Moda Health Plan, Inc. and 3 other insurers list Sandra Horvath-dori 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 Sandra Horvath-dori affiliated with any hospitals?

According to CMS data, Sandra Horvath-dori is affiliated with St James Healthcare, Barrett Hospital & Healthcare, Community Hospital Of Anaconda, Providence St Mary Medical Center and Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sandra Horvath-dori was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.