SAMUEL RAY SANDERS (MD) – Internal Medicine Physician, NPI 1245337401

SAMUEL RAY SANDERS (MD) is a healthcare provider. based in Oroville, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. G32097 (CA). The NPI Number for SAMUEL RAY SANDERS (MD) is 1245337401

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL RAY SANDERS (MD)
NPI
1245337401
Phone
(530) 534-5394
Address
2145 5TH AVE
Enumeration Date
20 September 2006
Last Update Date
19 July 2016

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
5305347500
Graduation Year
1975 (51 years ago)
PAC ID
0840352076
Group Practice PAC ID
5092619270
Professional Enrollment ID
I20081223000417
Address ID
CA959665961OR2800XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for SAMUEL RAY SANDERS (MD)

  • 5th Avenue, Oroville, Okanogan County, Washington, 98844-9372, United States

    OROVILLE, CA 959655870

    Phone: (530) 534-5394

    Fax: (530) 534-3820

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($49).

Total Amount

$104

General + Research + Ownership

Payments

4

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081223000417IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82962Blood glucose (sugar) test performed by hand-held instrument4636$0
81002Urinalysis, manual test3523$0
View full utilization report →

Insurance plans in this area (ZIP 95965)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092619270View full group profile
NameSpecialtyState
Internal Medicine, Geriatric MedicineNY
Clinical Social WorkerCA
-MA
C H I R O P R A C T I CCA
C H I R O P R A C T I CCA
Internal MedicineCA
-MI
-CA
Rheumatology, Internal MedicineCA
Emergency Medicine, Family PracticeCA

Reviews

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Frequently asked questions

What number should I use to identify SAMUEL RAY SANDERS (MD) for billing?
Administrative and clinical systems typically use NPI 1245337401 for SAMUEL RAY SANDERS (MD).
Should I treat SAMUEL RAY SANDERS (MD) as an active provider?
Patients and plans typically see SAMUEL RAY SANDERS (MD) as active in the national extract.
What does the directory say SAMUEL RAY SANDERS (MD) does?
Insurance directories may phrase it differently, but here SAMUEL RAY SANDERS (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SAMUEL RAY SANDERS (MD)?
The directory associates SAMUEL RAY SANDERS (MD) with Oroville, California. Check all listed addresses for suites or satellite offices.
Why is information missing for SAMUEL RAY SANDERS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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