DR. DENISE SANDERSON MD
NPI 1689768491
Surgery in Stuart, FL

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
97.21/100
CMS Quality Rating
2220 SE OCEAN BLVD STE 203, STUART, FL 34996(772) 872-6913(772) 872-6924 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2023, Jun 20, 2016 (2 updates tracked since 2016).

About Dr. Denise Sanderson Md NPPES

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

DR. DENISE SANDERSON MD (NPI 1689768491) is an individual surgery provider in Stuart, Florida, licensed in Florida (ME97068) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Js Weill Medical College, Cornell University (1999).

NPPES Registry Identity

NPI1689768491
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. DENISE SANDERSONCredential: MD
Location Address2220 SE OCEAN BLVD STE 203Stuart, FL 34996-3301
Mailing Address2220 Se Ocean Blvd Ste 203Stuart, FL 34996-3301 · (772) 872-6913 · Fax (772) 872-6924
Fax(772) 872-6924
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1999
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
NPI 1689768491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME97068
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2220 SE OCEAN BLVD STE 203, Stuart, FL 34996

Other Names 1

Former Name (1)Denise Marie Ortega Md

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

Dr. Denise Sanderson Md 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 ID9234231473
PECOS Enrollment IDI20070219000721
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 13

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.
885 services702 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
221 services175 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.
159 services159 patients
Biopsy of breast and placement of locating device using ultrasound, first growth 19083
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
66 services63 patients
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.
48 services45 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
41 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100252
Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34996 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

97.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability98
Improvement Activities40
Cost92.37

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%287 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
100%75 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Surgery
2220 SE OCEAN BLVD STE 203
STUART, FL 34996

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 Denise Sanderson's NPI number?

The NPI number for Denise Sanderson is 1689768491. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Denise Marie Ortega MD.

Where is Denise Sanderson located?

Denise Sanderson practices at 2220 SE Ocean Blvd Ste 203, Stuart, FL 34996. The listed phone number is (772) 872-6913.

What is Denise Sanderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Denise Sanderson enrolled in Medicare?

Yes. Denise Sanderson 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 Denise Sanderson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Denise Sanderson 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 Denise Sanderson affiliated with any hospitals?

According to CMS data, Denise Sanderson is affiliated with Cleveland Clinic Martin North Hospital, Cleveland Clinic Indian River Hospital, Hca Florida Raulerson Hospital, Jupiter Medical Center and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Denise Sanderson was last updated on January 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.