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TOBY R SADKIN MD
NPI 1750346839
Family Medicine in St Albans, VT

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
9 CREST RD, ST ALBANS, VT 05478(802) 527-0753(802) 524-2695 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 22, 2021, Mar 21, 2019, Feb 28, 2019 (3 updates tracked since 2019).

About Toby R Sadkin Md NPPES

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

TOBY R SADKIN MD (NPI 1750346839) is an individual family medicine provider in St Albans, Vermont, licensed in Vermont (042-0008280) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Rush Medical College Of Rush University (1998).

NPPES Registry Identity

NPI1750346839
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTOBY R SADKINCredential: MD
Location Address9 CREST RDSt Albans, VT 05478-9701
Mailing Address600 Blair Park Rd Ste 285Williston, VT 05495-7586 · (802) 288-1140 · Fax (802) 288-1144
Phone(802) 527-0753
Fax(802) 524-2695
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1998
Enumeration DateApril 20, 2006
Last NPPES UpdateJune 30, 20233 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1750346839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 042-0008280
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.

9 CREST RD, St Albans, VT 05478
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Other Identifiers 2

Medicaid0009515VT
OtherVT951501VT · Medicare Id Type Unspecified

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Toby R Sadkin 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 ID5395808851
PECOS Enrollment IDI20090108000731
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
270 services151 patients
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.
265 services143 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.
148 services89 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
72 services71 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
67 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05478 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers51 claims146 services$4.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims23 services$0.88 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers17 claims72 services$2.24 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers27 claims28 services$34.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers49 claims49 services$87.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

JEFFREY BARTON FINE PA-C
Physician Assistant
9 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-0753
PRIMARY CARE HEALTH PARTNERS
Family Medicine
9 CREST RD
ST ALBANS, VT 05478
Franklin County (802) 527-0753
DAVID M SENESE PA
Physician Assistant (Medical)
9 CREST RD
ST ALBANS, VT 05478
Franklin County (802) 527-0753
MR. DAVID JAMES MANCHESTER NP-C
Nurse Practitioner (Family)
9 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-0753
STEWART P MANCHESTER MD
Family Medicine
9 CREST RD
ST ALBANS, VT 05478
Franklin County (802) 527-0753
SARAH OWEN FNP
Nurse Practitioner (Family)
9 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-0753
TERRI THOMAS NIELSEN MD
Family Medicine
9 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-0753
MRS. SUSAN DENISE WILLIAMS NURSE PRACTITIONER
Nurse Practitioner (Family)
9 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-0753

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 Toby Sadkin's NPI number?

The NPI number for Toby Sadkin is 1750346839. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Toby Sadkin located?

Toby Sadkin practices at 9 Crest Rd, St Albans, VT 05478. The listed phone number is (802) 527-0753.

What is Toby Sadkin's specialty?

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

Is Toby Sadkin enrolled in Medicare?

Yes. Toby Sadkin 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 Toby Sadkin accept?

Health plans from Anthem Blue Cross and Blue Shield list Toby Sadkin 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 Toby Sadkin affiliated with any hospitals?

According to CMS data, Toby Sadkin is affiliated with Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Toby Sadkin was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.