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DR. SANFORD JONATHAN LAX MD
NPI 1871570903
Family Medicine in Gallatin, TN

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
1720 NASHVILLE PIKE STE 100, GALLATIN, TN 37066(615) 230-8601(615) 230-8670 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sanford Jonathan Lax Md NPPES

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

DR. SANFORD JONATHAN LAX MD (NPI 1871570903) is an individual family medicine provider in Gallatin, Tennessee, licensed in Tennessee (59735) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Wayne State University School Of Medicine (1986).

NPPES Registry Identity

NPI1871570903
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SANFORD JONATHAN LAXCredential: MD
Location Address1720 NASHVILLE PIKE STE 100Gallatin, TN 37066-3154
Mailing Address1720 Nashville Pike Ste 100Gallatin, TN 37066-3154 · (615) 230-8601 · Fax (615) 230-8670
Phone(615) 230-8601
Fax(615) 230-8670
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1986
Enumeration DateDecember 29, 2005
Last NPPES UpdateSeptember 17, 2019
✔ NPI 1871570903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · 59735✔ Licensed in MI · 4301407434
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.
1720 NASHVILLE PIKE STE 100, Gallatin, TN 37066
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Other Identifiers 2

Other0806365081Blue Cross Of Mi
Medicaid3454731MI

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

Dr. Sanford Jonathan Lax 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 ID8820148893
PECOS Enrollment IDI20220221001454
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

2

Medicare enrollment records show Sanford Lax reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Vincent Hospital
1,062 mi
Surgery
1213 GUSDORF ROAD
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group
NPI 1265790216 (505) 913-3490
Nexus Health Primary Care LLC
1,089 mi
Family Medicine
2085 S PACHECO ST
Santa Fe, NM 87505
  • Reassigned Medicare billing, New Mexico enrollment
  • 7 clinicians in this Medicare group
NPI 1093903320 (505) 395-3000

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 10

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.
248 services142 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.
137 services108 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
86 services57 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.
86 services86 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
64 services26 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.
46 services45 patients

Hospital Affiliations CMS Care Compare

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%2,227 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
89%339 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%140 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%711 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%72 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%711 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
43%711 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
46%711 patients
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 3

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

DR. GUILLERMO S LUDI M.D.
Internal Medicine
1720 NASHVILLE PIKE STE 100
GALLATIN, TN 37066
Sumner County (615) 230-8601
MRS. ELLEN KATHERINE MEADOR PA
Physician Assistant
1720 NASHVILLE PIKE STE 100
GALLATIN, TN 37066
Sumner County (615) 230-8601
ENRIQUE EDUARDO CARDENAS RAMOS M.D.
Family Medicine
1720 NASHVILLE PIKE STE 100
GALLATIN, TN 37066
Sumner County (615) 230-8601

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 Sanford Lax's NPI number?

The NPI number for Sanford Lax is 1871570903. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Sanford Lax located?

Sanford Lax practices at 1720 Nashville Pike Ste 100, Gallatin, TN 37066. The listed phone number is (615) 230-8601.

What is Sanford Lax's specialty?

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

Is Sanford Lax enrolled in Medicare?

Yes. Sanford Lax 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 Sanford Lax's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanford Lax reassigns Medicare benefits to 2 organizations: St. Vincent Hospital (Taos, NM) and Nexus Health Primary Care LLC (Santa Fe, NM). 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 Sanford Lax's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sanford Lax affiliated with any hospitals?

According to CMS data, Sanford Lax is affiliated with Christus St Vincent Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sanford Lax was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.