Active NPI
Scott J. Sanders, M.D.
- Vascular Surgery Physician
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 40629
- Practice address
- 2419 New Holt Rd
Paducah, KY 42001-7455 - Phone
- (270) 845-4301
- Fax
- (270) 845-4301
- NPI assigned
- Dec 29, 2006
- Last updated
- May 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 40629 | KY | Primary |
Addresses
Primary practice location
2419 New Holt Rd
Paducah, KY 42001-7455
Mailing address
2419 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 845-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100007440 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Arizona College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2419 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 845-4300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.8 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 127 |
| Leg revascularization (restoring blood flow) | 81 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| West Kentucky Anesthesia LLC | Current | Accepting new patients | |
| Paducah Vascular Institute PLLC | Vascular Surgery | Current | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Two Rivers Surgical Associates PLLC | Past | Accepting new patients | |
| Cumberland Surgical, PLLC | Past | Accepting new patients |
Locations
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
1532 Lone Oak Rd
Ste 405
Paducah, KY 42003
Phone (270) 441-4300
2419 New Holt Rd
Paducah, KY 42001
Phone (270) 845-4300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABGGCD
Organizations & group practices 6
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.
-
- Vascular Surgery Physician
- Paducah, KY
- NPI 1659027043
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
-
- Certified Registered Nurse Anesthetist
- Paducah, KY
- NPI 1548967458
-
dba Mercy Health - Paducah Orthopedics
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Surgery Physician
- Clarksville, TN
- NPI 1083732119
-
- Surgery Physician
- Clarksville, TN
- NPI 1073057857
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1972669422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 NEW HOLT RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017455",
"telephone_number": "270-845-4300",
"fax_number": "270-845-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 NEW HOLT RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017455",
"telephone_number": "270-845-4301",
"fax_number": "270-845-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "SCOTT",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "KY",
"license": "40629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100007440",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.