DR. LORI JACQUEMIN SANFORD (M.D.) – Dermatology Physician, NPI 1427282763

DR. LORI JACQUEMIN SANFORD (M.D.) is a healthcare provider. based in Greenfield, Indiana. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 01072559A (IN). The NPI Number for DR. LORI JACQUEMIN SANFORD (M.D.) is 1427282763

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. LORI JACQUEMIN SANFORD (M.D.)
NPI
1427282763
Phone
(317) 967-7921
Address
300 E BOYD AVE
Enumeration Date
14 May 2009
Last Update Date
20 April 2017

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3179677921
Graduation Year
2009 (17 years ago)
PAC ID
2668613720
Group Practice PAC ID
7012206303
Professional Enrollment ID
I20130801000278
Address ID
IN461638032NE4055XWAYX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

248 DERMATOLOGY in IN

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Provider Addresses for DR. LORI JACQUEMIN SANFORD (M.D.)

  • 300, East Boyd Avenue, Greenfield, Hancock County, Indiana, 46140, United States

    STE 209

    GREENFIELD, IN 461402834

    Phone: (317) 967-7921

    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 200 Open Payments records for all available years, with a total value of $3,286.

Total Amount is formed as General ($3,286) + Research ($0) + Ownership ($0) = $3,286.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($504).

Total Amount

$3,286

General + Research + Ownership

Payments

200

Total payment records

General Amount

$3,286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2013-08-01

PECOS data refreshed: 2026-06-15

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
I20130801000278IDermatologyINTBD

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
17003Destruction of precancer skin growth, 2-14 growths3,261552$0
99213Established patient office or other outpatient visit, 20-29 minutes1,8681,204$0
17000Destruction of precancer skin growth, 1 growth1,032729$0
11102Biopsy of related skin growth, first growth440375$0
17110Destruction of skin growth, 1-14 growths410356$0
View full utilization report →

Insurance plans in this area (ZIP 46140)

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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: 7012206303View full group profile
NameSpecialtyState
-IN
General PracticeOH
Physician AssistantIL
Physician AssistantIN

Reviews

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Frequently asked questions

What is DR. LORI JACQUEMIN SANFORD (M.D.)'s NPI number?
DR. LORI JACQUEMIN SANFORD (M.D.)'s NPI is 1427282763 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. LORI JACQUEMIN SANFORD (M.D.)?
For scheduling context, DR. LORI JACQUEMIN SANFORD (M.D.) is shown as active in the registry.
What clinical focus is listed for DR. LORI JACQUEMIN SANFORD (M.D.)?
At a glance, DR. LORI JACQUEMIN SANFORD (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Indiana is DR. LORI JACQUEMIN SANFORD (M.D.) registered?
Use Greenfield, Indiana as the headline location for DR. LORI JACQUEMIN SANFORD (M.D.) here.
Can I trust this NPI listing for DR. LORI JACQUEMIN SANFORD (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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