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DR. SERGIO SANCHEZ M.D.
NPI 1962445494
Internal Medicine in New Brunswick, NJ

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
183 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901(732) 846-1900(732) 294-6069 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sergio Sanchez M.d. NPPES

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

DR. SERGIO SANCHEZ M.D. (NPI 1962445494) is an individual internal medicine provider in New Brunswick, New Jersey, licensed in New Jersey (MA45039) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1962445494
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SERGIO SANCHEZCredential: M.D.
Location Address183 LIVINGSTON AVENew Brunswick, NJ 08901-2934
Mailing Address183 Livingston AveNew Brunswick, NJ 08901-2934 · (732) 846-1900 · Fax (732) 294-6069
Phone(732) 846-1900
Fax(732) 294-6069
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 29, 2010
✔ NPI 1962445494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA45039
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
183 LIVINGSTON AVE, New Brunswick, NJ 08901
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Other Identifiers 2

Medicare ID-Type Unspecified09411071NJ
Medicare UPINC54922NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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. Sergio 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 ID5496779209
PECOS Enrollment IDI20060119000659
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 Reassignment

Medicare enrollment records show Sergio Sanchez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Peter's Healthcare System Physician Associates
1.1 mi
General Practice
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
NPI 1548569361 (732) 745-6651

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 4

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.
118 services56 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.
41 services30 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.
30 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers29 claims70 services$4.67 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims30 services$0.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sergio Sanchez's NPI number?

The NPI number for Sergio Sanchez is 1962445494. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Sergio Sanchez located?

Sergio Sanchez practices at 183 Livingston Ave, New Brunswick, NJ 08901. The listed phone number is (732) 846-1900.

What is Sergio Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sergio Sanchez enrolled in Medicare?

Yes. Sergio 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.

Which organization bills Medicare for Sergio Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Sanchez reassigns Medicare benefits to Saint Peter's Healthcare System Physician Associates (New Brunswick, NJ). The 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 Sergio Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Sanchez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sergio Sanchez 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 Sergio Sanchez affiliated with any hospitals?

According to CMS data, Sergio Sanchez is affiliated with Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Sanchez was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.