DYLLON SANFORD (PA-C) – Physician Assistant, NPI 1336616143

DYLLON SANFORD (PA-C) is a healthcare provider. based in Junction, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA12409 (TX). The NPI Number for DYLLON SANFORD (PA-C) is 1336616143

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DYLLON SANFORD (PA-C)
NPI
1336616143
Phone
(325) 446-3321
Address
349 REID RD
Enumeration Date
30 October 2018
Last Update Date
16 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033928259
Graduation Year
2018 (8 years ago)
PAC ID
7618216136
Group Practice PAC ID
7113059155
Professional Enrollment ID
I20190228000584
Address ID
TX756523133HE105XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for DYLLON SANFORD (PA-C)

  • Kimble Hospital, 349, Reid Road, Junction, Kimble County, Texas, 76849, United States

    JUNCTION, TX 768493049

    Phone: (325) 446-3321

    Type: Mailing

  • 105 N HIGH ST

    HENDERSON, TX 756523133

    Phone: (033) 928-2599

    Fax: (903) 657-1674

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 162 Open Payments records for all available years, with a total value of $2,615.

Total Amount is formed as General ($2,615) + Research ($0) + Ownership ($0) = $2,615.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($514).

Total Amount

$2,615

General + Research + Ownership

Payments

162

Total payment records

General Amount

$2,615

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2019-02-28

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
I20190228000584IPhysician AssistantTXTBD

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 minutes18895$0
36415Insertion of needle into vein for collection of blood sample5642$0
99213Established patient office or other outpatient visit, 20-29 minutes3630$0
96372Injection of drug or substance under skin or into muscle3018$0
81003Automated urinalysis test2417$0
View full utilization report →

Insurance plans in this area (ZIP 76849)

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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: 7113059155View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I use this page to confirm DYLLON SANFORD (PA-C)'s NPI?
Yes. DYLLON SANFORD (PA-C) is listed with NPI 1336616143 in the public NPI dataset.
Is DYLLON SANFORD (PA-C) listed as active for patients and plans?
The listing shows DYLLON SANFORD (PA-C) as active in the NPI system.
What is DYLLON SANFORD (PA-C)'s primary classification?
Physician Assistant is the headline specialty for DYLLON SANFORD (PA-C) here. Clinical services aligned with this taxonomy classification.
Does DYLLON SANFORD (PA-C) list a practice location?
Patients near Junction, Texas may find DYLLON SANFORD (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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