SANDRA KAYE ARCHIBALD (MD) – Emergency Medicine Physician, NPI 1538147665
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 EMERGENCY MEDICINE in KY
Provider Addresses for SANDRA KAYE ARCHIBALD (MD)
200 ABRAHAM FLEXNOR WAY
LOUISVILLE, KY 402021821
Phone: (502) 587-4421
Fax: (502) 361-9947
Type: Location
5454, New Cut Road, Auburndale, Louisville, Jefferson County, Kentucky, 40214, United States
STE 5
LOUISVILLE, KY 402144271
Phone: (502) 361-9900
Fax: (502) 361-9947
Type: Mailing
461 S NOVA RD
ORMOND BEACH, FL 32174
Phone: (386) 671-4337
Fax: (386) 671-1127
Type: Location
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Phone: (386) 615-4001
Fax: (386) 676-7167
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $14 |
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: 2009-08-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040514000275 | I | Emergency Medicine | KY | TBD |
| I20090805000670 | I | Emergency Medicine | 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 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Sports Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | WV | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL |
Reviews
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