SANDRA CULBERTSON M.D.
NPI 1962419788
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Danville, PA

Q: What is Sandra Culbertson's NPI number?

The NPI number for Sandra Culbertson is 1962419788. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Sandra Culbertson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Culbertson was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment

100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6298(570) 271-5841 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sandra Culbertson M.d. NPPES

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

SANDRA CULBERTSON M.D. (NPI 1962419788) is an individual urogynecology and reconstructive pelvic surgery provider in Danville, Pennsylvania, licensed in Pennsylvania (MD049569L) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Geisinger-bloomsburg Hospital, and is a graduate of University Of Virginia School Of Medicine (1987).

NPPES Registry Identity

NPI1962419788

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameSANDRA CULBERTSONCredential: M.D.

Location Address100 N ACADEMY AVEDanville, PA 17822-1447

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 271-6298

Fax(570) 271-5841

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1987

Enumeration DateAugust 2, 2006

Last NPPES UpdateNovember 19, 2020

NPPES CertifiedNovember 19, 2020

✔ NPI 1962419788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

Licenses✔ Licensed in PA · MD049569L✔ Licensed in IL · 036-082513

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 036-082513 (IL), MD049569L (PA)

100 N ACADEMY AVE, Danville, PA 17822

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Sandra Culbertson 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 ID4789652124

PECOS Enrollment IDI20170620000019

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 11

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.

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

59 services54 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.

56 services45 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

45 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

42 services34 patients

Simple measurement of pressure of urine flow in bladder 51725

This procedure measures the strength of your urine flow. A small, soft tube is gently placed into your body to reach the bladder. It records the pressure while you empty your bladder. It helps check if there are any blockages or issues with bladder control.

34 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390003

Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County

Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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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.

DR. TARA JEAN LOUX MD

Surgery (Pediatric Surgery)