Individual provider Active NPI

Stephen Degnan Sandoval, M.D.

  • Orthopaedic Surgery Physician
  • Sherman, TX
National Provider Identifier
1205986882
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M6863 Issued in TX
Practice address
321 N Highland Ave
Ste 120
Sherman, TX 75092-7378
Phone
(903) 870-7936
Fax
(903) 957-0367
NPI assigned
Jan 12, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X M6863 TX
Orthopaedic Surgery Physician 207X00000X M6863 TX Primary

Addresses

Primary practice location

321 N Highland Ave
Ste 120
Sherman, TX 75092-7378

Mailing address

321 N Highland Ave
Ste 120
Sherman, TX 75092-7378
Phone (903) 870-7936

Other identifiers 3

IdentifierTypeStateIssuer
196461101MedicaidTX
200198900AMedicaidOK
8BJ960OtherTXBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssandoval@osmadocs.ssdirect.aprima.com Health Information Exchange (HIE) Orthopedic and Sports Medicine

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081002000656 TX Practitioner - Orthopedic Surgery 2567536592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 N Highland Ave
Suite 120
Sherman, TX 75092-7371
Phone (903) 870-7936

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as individual
Quality
92.11
Promoting interoperability
95
Improvement activities
40
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6863TXMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Medicine Orthopaedic Surgery CurrentSince Aug 1, 2008 Accepting new patients

Locations

321 N Highland Ave
Sherman, TX 75092
Phone (903) 361-0486

321 N Highland Ave
Ste 120
Sherman, TX 75092
Phone (903) 870-7936

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGDHCD/Endpoint/DGDHCD
  • Direct secure messaging: stephen.sandoval@osma.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205986882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE",
            "address_2": "STE 120",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927378",
            "telephone_number": "903-870-7936",
            "fax_number": "903-957-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE",
            "address_2": "STE 120",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927378",
            "telephone_number": "903-870-7936",
            "fax_number": "903-957-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "STEPHEN",
        "middle_name": "DEGNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M6863",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M6863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196461101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198900A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BJ960",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssandoval@osmadocs.ssdirect.aprima.com",
            "affiliation": "Y",
            "endpointDescription": "EHR DIRECT EMAIL ADDRESS FOR EXCHANGE OF HEALTH INFORMATION",
            "affiliationName": "Orthopedic and Sports Medicine",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "321 N Highland Ave",
            "address_2": "Ste 120",
            "city": "Sherman",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750927378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.