DR. SANDRA I TANDECIARZ (MD) – Family Medicine Physician, NPI 1811981129
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. SANDRA I TANDECIARZ (MD)
115, Park Street Southeast, Vienna, Fairfax (city), Virginia, 22180-5605, United States
SUITE 300
VIENNA, VA 221804653
Phone: (703) 255-9100
Fax: (703) 255-3457
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)
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: 2005-04-29
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 |
|---|---|---|---|---|
| I20050429000605 | I | Family Practice | DC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 314 | 175 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 101 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 51 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 43 | 36 | $0 |
| G0008 | Administration of influenza virus vaccine | 43 | 43 | $0 |
Insurance plans in this area (ZIP 22180)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 90670 | Pneumococcal vaccine for injection into muscle | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| Family Practice | VA | |
| Physician Assistant | VA | |
| Family Practice | MD | |
| Family Practice | MD | |
| Nurse Practitioner | VA | |
| Physical Therapist In Private Practice | VA | |
| Family Practice | VA | |
| Family Practice | MD | |
| Family Practice | MD |
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