DR. SANDRA S. LOOBY-GORDON M.D.
NPI 1972549343
Internal Medicine in Boston, MA

Q: What is Sandra Looby-gordon's NPI number?

The NPI number for Sandra Looby-gordon is 1972549343. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Sandra Looby-gordon's specialty?

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

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment

801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG, BOSTON, MA 02118(617) 414-5951(617) 414-9201 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2022, Apr 8, 2021, May 15, 2019 (3 updates tracked since 2019).

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About Dr. Sandra S. Looby-gordon M.d. NPPES

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

DR. SANDRA S. LOOBY-GORDON M.D. (NPI 1972549343) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (72762) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Tufts University School Of Medicine (1987).

NPPES Registry Identity

NPI1972549343

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SANDRA S. LOOBY-GORDONCredential: M.D.

Location Address801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDGBoston, MA 02118-2605

Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2690

Phone(617) 414-5951

Fax(617) 414-9201

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1987

Enumeration DateJune 22, 2006

Last NPPES UpdateNovember 30, 20233 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1972549343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 72762

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.

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 72762 (MA)

801 MASSACHUSETTS AVE, SUITE 6C, Boston, MA 02118

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Other Identifiers 1

Medicaid110050735AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Sandra S. Looby-gordon 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 ID1355388612

PECOS Enrollment IDI20050408000714

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 5

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.

147 services95 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.

37 services30 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services21 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

16 services11 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services11 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220031

Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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

9 suppliers52 claims107 services$5.79 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers18 claims18 services$1.00 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier14 claims14 services$38.33 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

2 suppliers11 claims11 services$161.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. MAXWELL JACOB UETZ MD

Internal Medicine

801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118

Suffolk County (617) 414-5951

DIVYA H. SATISHCHANDRA MD

Internal Medicine

801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118

Suffolk County (617) 414-5951

JOHN M STONE MD

Internal Medicine

801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118

Suffolk County (617) 414-5951

MAIA RIEGER CLAMAN FNP-BC

Nurse Practitioner (Family)

801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118

Suffolk County (617) 414-5951

DR. JOSHUA CAMPBELL GRUBBS MD, MPH

Internal Medicine

801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118

Suffolk County (617) 414-5951

JASON SCOTT MCLEAN MD, MPH

Internal Medicine

801 MASSACHUSETTS AVE, SUITE 6C, ADULT PRIMARY CARE
BOSTON, MA 02118

Suffolk County (617) 414-5951

KIMBERLY A BAUTISTA RN

Nurse Practitioner (Family)

801 MASSACHUSETTS AVE, SUITE 6C
BOSTON, MA 02118

Suffolk County (617) 414-5951

OM A KOTHARI

Internal Medicine

801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118

Suffolk County (617) 414-5951

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 Sandra Looby-gordon's NPI number?

The NPI number for Sandra Looby-gordon is 1972549343. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Sandra Looby-gordon located?

Sandra Looby-gordon practices at 801 Massachusetts Ave, Suite 6C Crosstown Bldg, Boston, MA 02118. The listed phone number is (617) 414-5951.

What is Sandra Looby-gordon's specialty?

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

Is Sandra Looby-gordon enrolled in Medicare?

Yes. Sandra Looby-gordon 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 Sandra Looby-gordon accept?

Health plans from Anthem Blue Cross and Blue Shield list Sandra Looby-gordon 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 Sandra Looby-gordon affiliated with any hospitals?

According to CMS data, Sandra Looby-gordon is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Sandra Looby-gordon was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.