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DR. MARIE SANDOVAL MD
NPI 1982612313
Internal Medicine in South Burlington, VT

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
1 TIMBER LN, SOUTH BURLINGTON, VT 05403(802) 847-4714(802) 847-6333 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marie Sandoval Md NPPES

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

DR. MARIE SANDOVAL MD (NPI 1982612313) is an individual internal medicine provider in South Burlington, Vermont, licensed in Vermont (0420009692) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of University Of Wisconsin School Of Medicine (1995).

NPPES Registry Identity

NPI1982612313
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARIE SANDOVALCredential: MD
Location Address1 TIMBER LNSouth Burlington, VT 05403-7205
Mailing Address10 Weathersfield BowEssex Junction, VT 05452-2645 · (802) 878-8515
Phone(802) 847-4714
Fax(802) 847-6333
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1995
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982612313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VT · 0420009692
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.
1 TIMBER LN, South Burlington, VT 05403
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Other Identifiers 3

Medicare UPING70185VT
Medicare ID-Type UnspecifiedSAVN1761VT
Medicaid0VN1761VT

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. Marie Sandoval Md 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 ID9335208248
PECOS Enrollment IDI20081107000022
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.
328 services137 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.
114 services114 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.
59 services45 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.
26 services16 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 2

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
5 suppliers11 claims28 services$4.70 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims22 services$83.05 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 14

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

DR. MICHAEL SCOLLINS MD
Internal Medicine
1 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-4714
DR. JENNIFER PLANTE GILWEE MD
Internal Medicine
1 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-4714
SARA R. ROBERTS MD
Internal Medicine
1 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-4714
ALEXANDRIA MARIE FRERICH PHARMD
Pharmacist
1 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-4714
RACHEL BRODIE PA-C
Physician Assistant
1 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-4714
SARAH J MCLAUGHLIN APRN
Nurse Practitioner (Family)
1 TIMBER LN, UVM MEDICAL CENTER, ADULT PRIMARY CARE
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-4714
DR. DENNIS R. BEATTY M.D.
Internal Medicine
1 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-4714
DESIREE ANNE PRICE CRNP
Nurse Practitioner (Primary Care)
1 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-4714

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 Marie Sandoval's NPI number?

The NPI number for Marie Sandoval is 1982612313. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Marie Sandoval located?

Marie Sandoval practices at 1 Timber Ln, South Burlington, VT 05403. The listed phone number is (802) 847-4714.

What is Marie Sandoval's specialty?

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

Is Marie Sandoval enrolled in Medicare?

Yes. Marie Sandoval 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 Marie Sandoval accept?

Health plans from Anthem Blue Cross and Blue Shield list Marie 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.

Is Marie Sandoval affiliated with any hospitals?

According to CMS data, Marie Sandoval is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, Northwestern Medical Center Inc and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Marie Sandoval was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.