SANDRA BIOLO A.P.R.N.
NPI 1700978426
Nurse Practitioner - Adult Health in Southbury, CT

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
22 OLD WATERBURY RD, SOUTHBURY, CT 06488(203) 262-4200 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Biolo A.p.r.n. NPPES

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

SANDRA BIOLO A.P.R.N. (NPI 1700978426) is an individual adult health provider in Southbury, Connecticut, licensed in Connecticut (002307) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1700978426
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSANDRA BIOLOCredential: A.P.R.N.
Location Address22 OLD WATERBURY RDSouthbury, CT 06488-3848
Mailing Address22 Old Waterbury RdSouthbury, CT 06488-3848 · (203) 262-4288
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMay 29, 2015
NPI 1700978426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 002307
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 002307 (CT)
22 OLD WATERBURY RD, Southbury, CT 06488

Other Identifiers 2

Medicare ID-Type Unspecified500001050CT
Medicare UPINP26250CT

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

Sandra Biolo A.p.r.n. 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 ID5294804662
PECOS Enrollment IDI20080527000620
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 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.

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.
160 services146 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
85 services84 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.
49 services43 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.
15 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06488 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
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.

Family Medicine
22 OLD WATERBURY RD
SOUTHBURY, CT 06488
Nurse Practitioner (Adult Health)
22 OLD WATERBURY RD
SOUTHBURY, CT 06488
Nurse Practitioner (Family)
22 OLD WATERBURY RD
SOUTHBURY, CT 06488
Internal Medicine
22 OLD WATERBURY RD
SOUTHBURY, CT 06488
Internal Medicine (Geriatric Medicine)
22 OLD WATERBURY RD, SUITE 201
SOUTHBURY, CT 06488
Pediatrics
22 OLD WATERBURY RD, SUITE 204
SOUTHBURY, CT 06488
Nurse Practitioner
22 OLD WATERBURY RD, SUITE 203
SOUTHBURY, CT 06488
Internal Medicine (Infectious Disease)
22 OLD WATERBURY RD, SUITE 201
SOUTHBURY, CT 06488

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 Biolo's NPI number?

The NPI number for Sandra Biolo is 1700978426. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Sandra Biolo located?

Sandra Biolo practices at 22 Old Waterbury Rd, Southbury, CT 06488. The listed phone number is (203) 262-4200.

What is Sandra Biolo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sandra Biolo enrolled in Medicare?

Yes. Sandra Biolo 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.

When was this NPI record last updated?

The NPPES record for Sandra Biolo was last updated on May 29, 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.