SANDRA J TAYLOR (MD) – Surgery Physician, NPI 1922089408

SANDRA J TAYLOR (MD) is a healthcare provider. based in South lake tahoe, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A84688 (CA). The NPI Number for SANDRA J TAYLOR (MD) is 1922089408

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA J TAYLOR (MD)
NPI
1922089408
Phone
(530) 543-5659
Address
1111 EMERALD BAY RD
Enumeration Date
10 November 2005
Last Update Date
17 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
8589673070
Graduation Year
2002 (24 years ago)
PAC ID
4981770880
Group Practice PAC ID
3274914502
Professional Enrollment ID
I20170419002784
Address ID
CA953503911MO1310XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for SANDRA J TAYLOR (MD)

  • 1111, Emerald Bay Road, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States

    SOUTH LAKE TAHOE, CA 961506207

    Phone: (530) 543-5659

    Fax: (530) 541-8723

    Type: Mailing

  • South Lake Tahoe, El Dorado County, California, United States

    SOUTH LAKE TAHOE, CA 96150

    Phone: (530) 543-5691

    Fax: (530) 542-2872

    Type: Location

  • 1375 VISTA LN

    CARSON CITY, NV 897034643

    Phone: (775) 882-2067

    Fax: (775) 882-3706

    Type: Mailing

  • 1667 Lucerne St Ste A

    Minden, NV 894234360

    Phone: (775) 882-2067

    Fax: (775) 882-3706

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $190.

Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($132).

Total Amount

$190

General + Research + Ownership

Payments

5

Total payment records

General Amount

$190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2019-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170419002784IGeneral SurgeryCATBD
I20190403002784IGeneral SurgeryNVTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
47562Removal of gallbladder using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 96150)

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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: 3274914502View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)CA
Plastic And Reconstructive SurgeryCA
P S Y C H I A T R YCA
Internal MedicineCA
General SurgeryCA
Plastic And Reconstructive SurgeryHI
Family Practice, Peripheral Vascular DiseaseMD
General SurgeryCA
Family Practice, Peripheral Vascular DiseaseTX
General PracticeAL

Reviews

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Frequently asked questions

What identifier follows SANDRA J TAYLOR (MD) across health systems?
The NPI 1922089408 uniquely identifies SANDRA J TAYLOR (MD) in U.S. healthcare data.
Is SANDRA J TAYLOR (MD) currently accepting referrals based on NPI status?
Registry metadata lists SANDRA J TAYLOR (MD) as active.
How should patients interpret SANDRA J TAYLOR (MD)'s specialty?
The extract shows Surgery Physician for SANDRA J TAYLOR (MD). Clinical services aligned with this taxonomy classification.
Is SANDRA J TAYLOR (MD) tied to South Lake Tahoe, California?
If you are local to South Lake Tahoe, California, SANDRA J TAYLOR (MD) may be relevant to your search.
Who maintains SANDRA J TAYLOR (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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