DANIELLE K SANDSMARK MD
NPI 1912157256
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since September 23, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104(215) 662-3606 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Danielle K Sandsmark Md NPPES

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

DANIELLE K SANDSMARK MD (NPI 1912157256) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD443937) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Washington University School Of Medicine (2008).

NPPES Registry Identity

NPI1912157256
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDANIELLE K SANDSMARKCredential: MD
Location Address3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILIONPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 2nd Floor, South PavilionPhiladelphia, PA 19104-5127 · (215) 662-3606
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2008
Enumeration DateSeptember 23, 2008
Last NPPES UpdateAugust 6, 2015
NPI 1912157256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · MD443937
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Accepted Insurance

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

Danielle K Sandsmark 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 ID5991922668
PECOS Enrollment IDI20140805000528
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
105 services42 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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 (Pediatrics)
3400 CIVIC CENTER BLVD, ENT DEPT FIRST FLOOR WOOD BLDG
PHILADELPHIA, PA 19104
Internal Medicine (Rheumatology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, 5TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
3400 CIVIC CENTER BLVD, 5 WOOD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912157256, enumerated as an "individual" on September 23, 2008.

The provider is located at 3400 CIVIC CENTER BLVD 2ND FLOOR, SOUTH PAVILION PHILADELPHIA, PA 19104 and the phone number is (215) 662-3606.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Danielle Sandsmark is affiliated with: HOSPITAL OF UNIV OF PENNSYLVANIA and PENN PRESBYTERIAN MEDICAL CENTER.