DR. ALAN R. SANDIDGE (M.D.) – Family Medicine Physician, NPI 1427025295

DR. ALAN R. SANDIDGE (M.D.) is a healthcare provider. based in Arnold, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2002003294 (MO). The NPI Number for DR. ALAN R. SANDIDGE (M.D.) is 1427025295

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALAN R. SANDIDGE (M.D.)
NPI
1427025295
Phone
(636) 717-6776
Address
3619 RICHARDSON SQUARE DR
Enumeration Date
1 March 2006
Last Update Date
7 June 2010

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6367413233
Graduation Year
1999 (27 years ago)
PAC ID
9638182843
Group Practice PAC ID
7214827922
Professional Enrollment ID
I20060710000228
Address ID
MO630121216BA1717XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

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Provider Addresses for DR. ALAN R. SANDIDGE (M.D.)

  • 3619, Richardson Square Drive, Beck, Arnold, Jefferson County, Missouri, 63010, United States

    SUITE 170

    ARNOLD, MO 63010

    Phone: (636) 717-6776

    Fax: (314) 525-4055

    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 9 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: ABBVIE INC. ($150).

Total Amount

$163

General + Research + Ownership

Payments

9

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$150
PFIZER INC.$13
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: 2006-07-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060710000228IFamily PracticeMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes273170$0
36415Insertion of needle into vein for collection of blood sample184119$0
83036Hemoglobin a1c level5843$0
G0008Administration of influenza virus vaccine3535$0
90662Influenza vaccine split virus, preservative free3333$0
View full utilization report →

Insurance plans in this area (ZIP 63010)

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Provider's Procedures

DR. ALAN R. SANDIDGE (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO90670Pneumococcal vaccine for injection into muscle3232

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: 7214827922View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. ALAN R. SANDIDGE (M.D.)?
The registry entry for DR. ALAN R. SANDIDGE (M.D.) shows NPI 1427025295.
Quick check: is DR. ALAN R. SANDIDGE (M.D.) active?
Public NPPES data shows DR. ALAN R. SANDIDGE (M.D.) with an active NPI status right now.
What does the directory say DR. ALAN R. SANDIDGE (M.D.) does?
Insurance directories may phrase it differently, but here DR. ALAN R. SANDIDGE (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ALAN R. SANDIDGE (M.D.)?
DR. ALAN R. SANDIDGE (M.D.) is associated with Arnold, Missouri in the same public data insurers reference.
Why is information missing for DR. ALAN R. SANDIDGE (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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