SHEILA PLUMLEE SANDERS MD
NPI 1700985827
Ophthalmology - Glaucoma Specialist in Lexington, KY

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
110 CONN TER STE 550, LEXINGTON, KY 40508(859) 323-5867 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Nov 20, 2017, Nov 14, 2017 (3 updates tracked since 2017).

About Sheila Plumlee Sanders Md NPPES

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

SHEILA PLUMLEE SANDERS MD (NPI 1700985827) is an individual glaucoma specialist in Lexington, Kentucky, licensed in Kentucky (27690) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1700985827
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameSHEILA PLUMLEE SANDERSCredential: MD
Location Address110 CONN TER STE 550Lexington, KY 40508-3206
Mailing Address110 Conn Ter Ste 550Lexington, KY 40508-3206 · (859) 323-5867
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1989
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1700985827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in KY · 27690
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License 27690 (KY)
110 CONN TER STE 550, Lexington, KY 40508

Secondary Practice Location 1

Location 1740 S LimetsoneLexington, KY 40536-0001 · Phone (859) 323-5867

Other Identifiers 1

Medicaid64276900KY

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

Sheila Plumlee Sanders 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 ID1052490430
PECOS Enrollment IDI20080509000573
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 15

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.
306 services245 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.
234 services178 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
172 services170 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
118 services116 patients
Measurement of corneal pressure 92145
Measurement of corneal pressure, also known as tonometry, is a simple, painless procedure that checks the pressure inside your eye. It's important for detecting conditions like glaucoma. A device gently touches your eye to take the reading, which is usually quick and doesn't cause discomfort.
55 services55 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
41 services40 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Ophthalmology (Retina Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Optometrist
110 CONN TER STE 550
LEXINGTON, KY 40508
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
110 CONN TER STE 550
LEXINGTON, KY 40508
Ophthalmology (Retina Specialist)
110 CONN TER STE 550, UNIVERSITY OF KENTUCKY DEPT OF OPHTHALMOLOGY
LEXINGTON, KY 40508
Ophthalmology (Cornea and External Diseases Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Student in an Organized Health Care Education/Training Program
110 CONN TER STE 550
LEXINGTON, KY 40508
Ophthalmology
110 CONN TER STE 550
LEXINGTON, KY 40508
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508

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 Sheila Sanders's NPI number?

The NPI number for Sheila Sanders is 1700985827. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Sheila Sanders located?

Sheila Sanders practices at 110 Conn Ter Ste 550, Lexington, KY 40508. The listed phone number is (859) 323-5867.

What is Sheila Sanders's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Sheila Sanders enrolled in Medicare?

Yes. Sheila 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.

What insurance does Sheila Sanders accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 2 other insurers list Sheila 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 Sheila Sanders affiliated with any hospitals?

According to CMS data, Sheila Sanders is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Sanders was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.