SANDY SAINTELIA MD
NPI 1851743801
Internal Medicine in Harrisburg, PA

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
4000 LINGLESTOWN RD, HARRISBURG, PA 17112(717) 231-8867(717) 231-8535 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2021, Jan 30, 2021, Nov 16, 2020 and 2 more (5 updates tracked since 2016).

About Sandy Saintelia Md NPPES

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

SANDY SAINTELIA MD (NPI 1851743801) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD468936) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1851743801
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDY SAINTELIACredential: MD
Location Address4000 LINGLESTOWN RDHarrisburg, PA 17112-1017
Mailing Address4000 Linglestown RdHarrisburg, PA 17112-1017 · (717) 231-8867 · Fax (717) 231-8535
Fax(717) 231-8535
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 1, 2016
Last NPPES UpdateJanuary 12, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
NPI 1851743801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD468936
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4000 LINGLESTOWN RD, Harrisburg, PA 17112

Other Names 1

Former Name (1)Sandy Lexine Md

Secondary Practice Location 1

Location 1111 S Front StHarrisburg, PA 17101-2010 · Phone (717) 231-8506

Other Identifiers 1

Medicaid103361180PA

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

Sandy Saintelia 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 ID4688967946
PECOS Enrollment IDI20191031000574
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
268 services171 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
145 services140 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17112 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

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.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.05 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
1 supplier11 claims11 services$79.05 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 20

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

Nurse Practitioner
4000 LINGLESTOWN RD
HARRISBURG, PA 17112
Speech-Language Pathologist
4000 LINGLESTOWN RD
HARRISBURG, PA 17112
Internal Medicine (Geriatric Medicine)
4000 LINGLESTOWN RD
HARRISBURG, PA 17112
Physical Therapy Assistant
4000 LINGLESTOWN RD
HARRISBURG, PA 17112
Physician Assistant
4000 LINGLESTOWN RD
HARRISBURG, PA 17112
Internal Medicine
4000 LINGLESTOWN RD
HARRISBURG, PA 17112
Nurse Practitioner (Primary Care)
4000 LINGLESTOWN RD
HARRISBURG, PA 17112
Family Medicine (Hospice and Palliative Medicine)
4000 LINGLESTOWN RD
HARRISBURG, PA 17112

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 Sandy Saintelia's NPI number?

The NPI number for Sandy Saintelia is 1851743801. It was assigned to this individual provider in the NPPES registry on July 1, 2016. The provider is also known as Sandy Lexine MD.

Where is Sandy Saintelia located?

Sandy Saintelia practices at 4000 Linglestown Rd, Harrisburg, PA 17112. The listed phone number is (717) 231-8867.

What is Sandy Saintelia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandy Saintelia enrolled in Medicare?

Yes. Sandy Saintelia 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.

Is Sandy Saintelia affiliated with any hospitals?

According to CMS data, Sandy Saintelia is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Sandy Saintelia was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.