CARLOS R SANDOVAL-MARTINEZ MD
NPI 1851438782
Family Medicine in Shippensburg, PA

Q: What is Carlos Sandoval-martinez's NPI number?

The NPI number for Carlos Sandoval-martinez is 1851438782. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Carlos Sandoval-martinez's specialty?

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

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment

46 WALNUT BOTTOM RD STE 100, SHIPPENSBURG, PA 17257(717) 477-2764(717) 217-4207 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Jun 14, 2024, Aug 18, 2022 and 10 more (13 updates tracked since 2019).

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About Carlos R Sandoval-martinez Md NPPES

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

CARLOS R SANDOVAL-MARTINEZ MD (NPI 1851438782) is an individual family medicine provider in Shippensburg, Pennsylvania, licensed in Pennsylvania (MD430665) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1851438782

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCARLOS R SANDOVAL-MARTINEZCredential: MD

Location Address46 WALNUT BOTTOM RD STE 100Shippensburg, PA 17257-8219

Mailing Address111 Chambers Hill Dr Ste 200Chambersburg, PA 17201-7304 · (717) 709-7922 · Fax (717) 263-2055

Phone(717) 477-2764

Fax(717) 217-4207

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJanuary 31, 2007

Last NPPES UpdateAugust 20, 202513 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1851438782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD430665

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.

46 WALNUT BOTTOM RD STE 100, Shippensburg, PA 17257

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Secondary Practice Locations 8

Location 124 Antrim Commons DrGreencastle, PA 17225-1623 · Phone (717) 597-5553 · Fax (717) 597-5522

Location 21610 Orchard DrChambersburg, PA 17201-9206 · Phone (717) 261-0929 · Fax (717) 261-0902

Location 3133 W Catherine St Ste 100Chambersburg, PA 17201-3592 · Phone (717) 261-4933 · Fax (717) 660-0017

Location 41624 Orchard DrChambersburg, PA 17201-9206 · Phone (717) 217-6915 · Fax (717) 462-6859

Location 5601 E Main StWaynesboro, PA 17268-2332 · Phone (717) 765-5088 · Fax (717) 765-5066

Location 61015 Philadelphia AveChambersburg, PA 17201-1279 · Phone (717) 264-3278 · Fax (717) 262-4494

Location 71000 Norland AveChambersburg, PA 17201-4229 · Phone (717) 267-6363 · Fax (717) 217-6937

Location 8565 E Chocolate AveHershey, PA 17033-1325 · Phone (717) 533-4935

Other Identifiers 1

Medicaid101888092PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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

Carlos R Sandoval-martinez 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 ID3577660653

PECOS Enrollment IDI20070524000366

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

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

Wellspan Medical Group

Same address

Family Medicine

46 WALNUT BOTTOM RD STE 200
Shippensburg, PA 17257

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1316659105 (717) 532-4148

Keystone Rural Health Center

11 mi

Federally Qualified Health Center (FQHC)

830 5TH AVE STE 202
Chambersburg, PA 17201

Reassigned Medicare billing, Pennsylvania enrollment
137 clinicians in this Medicare group

NPI 1639462427 (717) 709-7990

Medexpress Urgent Care, PC - Pennsylvania

12 mi

Urgent Care

1048 LINCOLN WAY E, SUITE 101
Chambersburg, PA 17201

Reassigned Medicare billing, Pennsylvania enrollment
214 clinicians in this Medicare group

NPI 1780980953 (717) 267-2273

Ucmg LLC

134 mi

Urgent Care

4655 WILLIAM FLYNN HWY STE 110
Allison Park, PA 15101

Reassigned Medicare billing, Pennsylvania enrollment
190 clinicians in this Medicare group

NPI 1972300622 (412) 486-3027

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 9

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.

201 services190 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

99 services99 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.

65 services63 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

40 services20 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

39 services39 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17257 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 5

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

HIMANI PATEL

Nurse Practitioner (Family)