Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GARTH P SANFORD
NPI 1851148118
Nurse Practitioner - Family in Lowville, NY

Active since May 03, 2024PECOS EnrolledAccepts Medicare Assignment
7785 N STATE ST, LOWVILLE, NY 13367(315) 376-5200(315) 376-9317 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2026, May 3, 2024 (2 updates tracked since 2024).

About Garth P Sanford NPPES

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

GARTH P SANFORD (NPI 1851148118) is an individual family provider in Lowville, New York, licensed in New York (354235) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Lewis County General Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1851148118
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGARTH P SANFORD
Location Address7785 N STATE STLowville, NY 13367-1297
Mailing Address3711 Moose River RdBoonville, NY 13309-5324 · (315) 525-0657
Fax(315) 376-9317
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 3, 2024
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1851148118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 354235
7785 N STATE ST, Lowville, NY 13367

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

Garth P Sanford 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 ID8022559616
PECOS Enrollment IDI20240923003435
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 Reassignment

Medicare enrollment records show Garth Sanford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
7785 N STATE ST FL 3
Lowville, NY 13367
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Lewis County
  • Also billed through NPI 1982954178 (New York), NPI 1790857308 (New York)
  • 50 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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 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.
25 services19 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.
15 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lewis County General Hospital

Critical Access Hospitals · Lowville, NY
OwnershipGovernment - Local
CMS Certification Number331317
Location7785 North State StreetLowville, NY 13367 · Lewis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13367 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Pharmacist
7785 N STATE ST
LOWVILLE, NY 13367
Anesthesiology
7785 N STATE ST
LOWVILLE, NY 13367
Occupational Therapist
7785 N STATE ST
LOWVILLE, NY 13367
Physician Assistant
7785 N STATE ST
LOWVILLE, NY 13367
Internal Medicine
7785 N STATE ST, SUITE 250
LOWVILLE, NY 13367
Occupational Therapist (Physical Rehabilitation)
7785 N STATE ST
LOWVILLE, NY 13367
Emergency Medicine
7785 N STATE ST
LOWVILLE, NY 13367
Medicare Defined Swing Bed Unit
7785 N STATE ST
LOWVILLE, NY 13367

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 Garth Sanford's NPI number?

The NPI number for Garth Sanford is 1851148118. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Garth Sanford located?

Garth Sanford practices at 7785 N State St, Lowville, NY 13367. The listed phone number is (315) 376-5200.

What is Garth Sanford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Garth Sanford enrolled in Medicare?

Yes. Garth Sanford 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 organization bills Medicare for Garth Sanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garth Sanford reassigns Medicare benefits to Lewis County General Hospital (Lowville, NY). The 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 Garth Sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Garth Sanford affiliated with any hospitals?

According to CMS data, Garth Sanford is affiliated with Lewis County General Hospital.

When was this NPI record last updated?

The NPPES record for Garth Sanford was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.