JOHN ALBERTO SANCHEZ DO
NPI 1811949985
Family Medicine in Nags Head, NC

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
5002 S CROATAN HWY STE A, NAGS HEAD, NC 27959(252) 449-6115(252) 449-6116 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Alberto Sanchez Do NPPES

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

JOHN ALBERTO SANCHEZ DO (NPI 1811949985) is an individual family medicine provider in Nags Head, North Carolina, licensed in North Carolina (200200593) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and maintains a secondary practice location in Nags Head.

NPPES Registry Identity

NPI1811949985
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN ALBERTO SANCHEZCredential: DO
Location Address5002 S CROATAN HWY STE ANags Head, NC 27959-9045
Mailing Address5002 S Croatan Hwy Ste ANags Head, NC 27959-9045 · (252) 449-6115 · Fax (252) 449-6116
Fax(252) 449-6116
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1999
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 26, 2022
NPPES CertifiedMay 26, 2022
NPI 1811949985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 200200593
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.

5002 S CROATAN HWY STE A, Nags Head, NC 27959

Secondary Practice Location 1

Location 15002 S Croatan Hwy Ste BNags Head, NC 27959-9045 · Phone (252) 261-8040 · Fax (252) 441-7041

Other Identifiers 1

Medicaid89015PENC

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

John Alberto Sanchez Do 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 ID8224029376
PECOS Enrollment IDI20040519000423
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 29

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.
521 services309 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.
232 services210 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.
187 services185 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
167 services165 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
140 services32 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.
85 services85 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number341318
Location211 Virginia RdEdenton, NC 27932 · Chowan County
Emergency services Birthing friendly

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27959 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
33%111 patients2/55-star benchmark: 93%
Cervical Cancer Screening
63%302 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
21%295 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
60%183 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
65%142 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%142 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
74%1,974 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%21 patients1/55-star benchmark: 100%
HIV Screening
0%573 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%589 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
83%504 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%1,066 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 551 patients
Patients screened: 92% · 551 patients
71%110 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
59%177 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 26 patients
Patients totalRate: 12% · 26 patients
12%26 patients3/55-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.

Nurse Practitioner
5002 S CROATAN HWY STE A
NAGS HEAD, NC 27959

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 John Sanchez's NPI number?

The NPI number for John Sanchez is 1811949985. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is John Sanchez located?

John Sanchez practices at 5002 S Croatan Hwy Ste A, Nags Head, NC 27959. The listed phone number is (252) 449-6115.

What is John Sanchez's specialty?

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

Is John Sanchez enrolled in Medicare?

Yes. John Sanchez 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 John Sanchez accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list John Sanchez 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 John Sanchez affiliated with any hospitals?

According to CMS data, John Sanchez is affiliated with Sentara Albemarle Medical Center, Vidant Chowan Hospital, The Outer Banks Hospital, Inc and Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for John Sanchez was last updated on May 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.