SYBIL LEE SANDOVAL (MD) – Internal Medicine Physician, NPI 1407833106
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,448 INTERNAL MEDICINE in CT
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Provider Addresses for SYBIL LEE SANDOVAL (MD)
Jordan Lane, Wethersfield, Hartford County, Connecticut, 06109, United States of America
PRIME HEALTHCARE
WETHERSFIELD, CT 061091278
Phone: (860) 263-0253
Fax: (860) 263-0262
Type: Mailing
44, Dale Road, Avon, Hartford County, Connecticut, 06001, United States
PRIME HEALTHCARE
AVON, CT 060013612
Phone: (860) 674-8830
Fax: (860) 674-8984
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 79 Open Payments records for all available years, with a total value of $1,788.
Total Amount is formed as General ($1,788) + Research ($0) + Ownership ($0) = $1,788.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($394).
Total Amount
$1,788
General + Research + Ownership
Payments
79
Total payment records
General Amount
$1,788
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091203000515 | I | Internal Medicine | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 302 | 176 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 138 | 138 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 106 | 100 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 77 | 77 | $0 |
| G0009 | Administration of pneumococcal vaccine | 77 | 77 | $0 |
Insurance plans in this area (ZIP 06109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Gastroenterology, Internal Medicine | CT | |
| Pulmonary Disease, Internal Medicine | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| Internal Medicine, Gastroenterology | CT | |
| Geriatric Medicine, Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT |
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