WILLIAM RAFAEL SANCHEZ M.D.
NPI 1902074503
Surgery in Lexington, KY

Active since February 15, 2008PECOS EnrolledAccepts Medicare Assignment
450 E NEW CIRCLE RD, LEXINGTON, KY 40505(859) 523-3797(859) 523-3948 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Rafael Sanchez M.d. NPPES

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

WILLIAM RAFAEL SANCHEZ M.D. (NPI 1902074503) is an individual surgery provider in Lexington, Kentucky, licensed in Arizona (AU-2903599-9914) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital Union County, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1902074503
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWILLIAM RAFAEL SANCHEZCredential: M.D.
Location Address450 E NEW CIRCLE RDLexington, KY 40505-2619
Mailing Address450 E New Circle RdLexington, KY 40505-2619 · (859) 523-3797 · Fax (859) 523-3948
Fax(859) 523-3948
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 15, 2008
Last NPPES UpdateJuly 8, 2015
NPI 1902074503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AZ · AU-2903599-9914
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 42437 (KY)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 42437 (KY)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 050155 (CT)
450 E NEW CIRCLE RD, Lexington, KY 40505

Other Identifiers 4

Other1902074503KY · Bcbs Ky
Other4220249TN · Tn Bcbs
Medicare PIN0962205KY
Medicaid7100072140KY

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

William Rafael Sanchez M.d. 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 ID4082771415
PECOS Enrollment IDI20090330000185
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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
119 services95 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
95 services84 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.
52 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital Union County

Critical Access Hospitals · Morganfield, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181306
Location4604 Us Highway 60 WestMorganfield, KY 42437 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40505 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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 3

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

Clinic/Center (Urgent Care)
450 E NEW CIRCLE RD
LEXINGTON, KY 40505
Clinic/Center (Urgent Care)
450 E NEW CIRCLE RD
LEXINGTON, KY 40505
Physician Assistant
450 E NEW CIRCLE RD
LEXINGTON, KY 40505

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 William Sanchez's NPI number?

The NPI number for William Sanchez is 1902074503. It was assigned to this individual provider in the NPPES registry on February 15, 2008.

Where is William Sanchez located?

William Sanchez practices at 450 E New Circle Rd, Lexington, KY 40505. The listed phone number is (859) 523-3797.

What is William Sanchez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Sanchez enrolled in Medicare?

Yes. William 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.

Is William Sanchez affiliated with any hospitals?

According to CMS data, William Sanchez is affiliated with Methodist Hospital Union County.

When was this NPI record last updated?

The NPPES record for William Sanchez was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.