DR. DAREK SANFORD M.D.
NPI 1932442175
Internal Medicine - Cardiovascular Disease in Newport, KY

Active since April 05, 2013PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1400 GRAND AVENUE, NEWPORT, KY 41071(859) 287-3045(859) 441-1460 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Apr 2, 2021 (2 updates tracked since 2021).

About Dr. Darek Sanford M.d. NPPES

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

DR. DAREK SANFORD M.D. (NPI 1932442175) is an individual cardiovascular disease provider in Newport, Kentucky, licensed in Kentucky (52743) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1932442175
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DAREK SANFORDCredential: M.D.
Location Address1400 GRAND AVENUENewport, KY 41071-2570
Mailing AddressP.o. Box 636324Cincinnati, OH 45263-6324 · (859) 344-5555 · Fax (859) 344-5552
Fax(859) 441-1460
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 5, 2013
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1932442175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in KY · 52743 Licensed in IN · 01085343A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.023023 (OH)
1400 GRAND AVENUE, Newport, KY 41071

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

Dr. Darek Sanford 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 ID8628219946
PECOS Enrollment IDI20190730002659, I20210503000729
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 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
896 services719 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.
545 services348 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
286 services281 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
247 services147 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
104 services104 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
100 services100 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41071 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Internal Medicine
1400 GRAND AVENUE
NEWPORT, KY 41071
Family Medicine
1400 GRAND AVENUE, ST ELIZABETH PHYSICIANS
NEWPORT, KY 41071
Urology
1400 GRAND AVENUE
NEWPORT, KY 41071
Physician Assistant
1400 GRAND AVENUE
NEWPORT, KY 41071
Internal Medicine
1400 GRAND AVENUE
NEWPORT, KY 41071
Nurse Practitioner
1400 GRAND AVENUE
NEWPORT, KY 41071
Surgery
1400 GRAND AVENUE
NEWPORT, KY 41071
Family Medicine
1400 GRAND AVENUE, ST ELIZABETH PHYSICIANS
NEWPORT, KY 41071

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 Darek Sanford's NPI number?

The NPI number for Darek Sanford is 1932442175. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Darek Sanford located?

Darek Sanford practices at 1400 Grand Avenue, Newport, KY 41071. The listed phone number is (859) 287-3045.

What is Darek Sanford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Darek Sanford enrolled in Medicare?

Yes. Darek Sanford 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.

What insurance does Darek Sanford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Darek Sanford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Darek Sanford affiliated with any hospitals?

According to CMS data, Darek Sanford is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Darek Sanford was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.