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THOMAS SANCHEZ MD
NPI 1841981099
Family Medicine in West Columbia, SC

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169(803) 739-3491 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Mar 11, 2025, Aug 23, 2024 and 1 more (4 updates tracked since 2023).

About Thomas Sanchez Md NPPES

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

THOMAS SANCHEZ MD (NPI 1841981099) is an individual family medicine provider in West Columbia, South Carolina, licensed in Illinois (036-177711) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841981099
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS SANCHEZCredential: MD
Location Address145 SUNSET CT STE 100West Columbia, SC 29169-2429
Mailing Address145 Sunset Ct Ste 100West Columbia, SC 29169-2429 · (803) 739-3491
Phone(803) 739-3491
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2023
Enumeration DateMay 18, 2023
Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1841981099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036-177711✔ Licensed in SC · 90338
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
145 SUNSET CT STE 100, West Columbia, SC 29169
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14003 S Route 59Naperville, IL 60564-5802 · Phone (888) 693-6437 · Fax (815) 730-6368
Location 2154 Saluda Pointe DrLexington, SC 29072-7295 · Phone (803) 785-3590 · Fax (803) 785-3595

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Sanchez 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 ID8921469115
PECOS Enrollment IDI20250328001814, I20260429002221
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Thomas Sanchez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Health, Inc
Same address
Family Medicine
145 SUNSET CT STE 100&201
West Columbia, SC 29169
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
NPI 1609597095 (803) 739-3550
Hoopeston Community Memorial Hospital
574 mi
Internal Medicine
701 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
NPI 1043683014 (217) 283-5531
Carle Health Medical Group
576 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Dupage Medical Group Ltd
658 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

DUVAL SAMWARU DO
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000
HOLLY OWENS MD
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
BRANDON AUSTIN MCCONNELL
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
JOSEPH GABRIEL PATRAUTANU MD
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TRIET LE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
DR. JOSEPH MICHAEL COONEY DO
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TREVOR DOANE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
ALEXANDER KHOA-NGUYEN GIEP
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000

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 Thomas Sanchez's NPI number?

The NPI number for Thomas Sanchez is 1841981099. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Thomas Sanchez located?

Thomas Sanchez practices at 145 Sunset Ct Ste 100, West Columbia, SC 29169. The listed phone number is (803) 739-3491.

What is Thomas Sanchez's specialty?

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

Is Thomas Sanchez enrolled in Medicare?

Yes. Thomas 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.

Which organizations bill Medicare for Thomas Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Sanchez reassigns Medicare benefits to 4 organizations: Lexington Health, Inc (West Columbia, SC), Hoopeston Community Memorial Hospital (Hoopeston, IL), Carle Health Medical Group (Urbana, IL) and Dupage Medical Group Ltd (Downers Grove, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Sanchez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Thomas 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 Thomas Sanchez affiliated with any hospitals?

According to CMS data, Thomas Sanchez is affiliated with Carle Foundation Hospital and Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Sanchez was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.