DOUGLAS WILLIS SANDERS (MD) – Surgery Physician, NPI 1700846789
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Provider Addresses for DOUGLAS WILLIS SANDERS (MD)
4619 Little Rd
New Port Richey, FL 346551329
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Location
4619 LITTLE RD
NEW PORT RICHEY, FL 346551329
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Location
3435 S Highlands Ave
Sebring, FL 338705408
Phone: (863) 385-8777
Fax: (863) 385-6585
Type: Location
371 E Paces Ferry Rd NE Ste 630
Atlanta, GA 303052372
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Location
3820 NORTHDALE BLVD STE 201
TAMPA, FL 336241893
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Mailing
354 NEWNAN CROSSING BYP STE 210
NEWNAN, GA 302652323
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Location
South Highlands Avenue, Sebring, Highlands County, Florida, 33870, United States
SEBRING, FL 338705408
Phone: (863) 385-8777
Fax: (863) 385-6585
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-07-24
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 |
|---|---|---|---|---|
| I20040724000005 | I | General Surgery | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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