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DR. JESSE SANDOVAL D.O.
NPI 1972552271
Phlebology in Soldotna, AK

Active since May 06, 2006PECOS Enrolled
92.36/100
CMS Quality Rating
245 N BINKLEY ST STE 101, SOLDOTNA, AK 99669(907) 714-4111(907) 262-5191 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2023, Oct 8, 2020 (2 updates tracked since 2020).

About Dr. Jesse Sandoval D.o. NPPES

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

DR. JESSE SANDOVAL D.O. (NPI 1972552271) is an individual phlebology provider in Soldotna, Alaska, licensed in Idaho (O124) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972552271
Entity TypeIndividualMale
Primary Taxonomy202K00000X
Provider Legal NameDR. JESSE SANDOVALCredential: D.O.
Location Address245 N BINKLEY ST STE 101Soldotna, AK 99669-7500
Mailing AddressPo Box 7130Boise, ID 83707-1130 · (208) 333-1472 · Fax (208) 333-7757
Phone(907) 714-4111
Fax(907) 262-5191
Sole ProprietorYes
Enumeration DateMay 6, 2006
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
✔ NPI 1972552271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhlebologyAllopathic & Osteopathic Physicians
Taxonomy Code202K00000X
License✔ Licensed in ID · O124
Definition
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0124 (ID)
245 N BINKLEY ST STE 101, Soldotna, AK 99669
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Secondary Practice Locations 2

Location 11199 Shoreline Ln, #310Boise, ID 83702-6813 · Phone (208) 333-1472 · Fax (208) 333-7757
Location 2247 N Fireweed St Ste ASoldotna, AK 99669-7593 · Phone (907) 262-8597

Other Identifiers 12

OtherS4620ID · Blue Cross Of Idaho
Other200489062ID · Primary Health Network
Other200489062ID · Tricare West
Other0004676625ID · Aetna
Other200489062ID · Principal Life Insurance
Medicaid004314700ID
Other200489062ID · Mutual Of Omaha
Other200489062ID · Hcs Health Claims Service
Other000010145826ID · Regence Blue Sheild
Other200489062ID · United Health Care
Other200489062ID · Cigna Health Care
Other200489062ID · First Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse Sandoval D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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 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.
89 services73 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.
58 services55 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services34 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.
34 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services23 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.
21 services20 patients

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.

92.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.31
Promoting Interoperability83
Improvement Activities40
Cost86.69

Other Providers at the Same Location NPPES 4

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

JASON ERIC WALLENTINE MD
Family Medicine
245 N BINKLEY ST STE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4111
STACY NEWBERN APRN
Nurse Practitioner (Family)
245 N BINKLEY ST STE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4111
LOUIS BARTOLETTI MD
Family Medicine
245 N BINKLEY ST STE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4111
RYAN MICHAEL SALIGA MD
Family Medicine
245 N BINKLEY ST STE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-4111

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 Jesse Sandoval's NPI number?

The NPI number for Jesse Sandoval is 1972552271. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Jesse Sandoval located?

Jesse Sandoval practices at 245 N Binkley St Ste 101, Soldotna, AK 99669. The listed phone number is (907) 714-4111.

What is Jesse Sandoval's specialty?

The primary specialty registered for this NPI is Phlebology with taxonomy code 202K00000X.

Is Jesse Sandoval enrolled in Medicare?

Yes. Jesse Sandoval is registered in the Medicare PECOS enrollment system.

What insurance does Jesse Sandoval accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jesse Sandoval 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.

When was this NPI record last updated?

The NPPES record for Jesse Sandoval was last updated on December 19, 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.