Active NPI 1982684205 Individual Practitioner Female Practitioner

Sandra D Fantauzzi , PA-C

Physician Assistant • Sebring, FL

Professional Overview & Biography Verified Profile Summary

Sandra Fantauzzi, PA-C is a registered healthcare professional specializing in Physician Assistant in Sebring, FL. Practice services are available at 4420 SUN N LAKE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4420 Sun N Lake Blvd

Sebring, FL 338722164

Telephone 8633851244

Fax 8633856086

Associated Practice Facility / Clinic

🏢 Amit I Shah M D P A Facility NPI 1881733772

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sebring, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.9 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

22 Specialists

Practicing in Sebring, FL (10376 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$197.74	$80.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	12	$277.82	$117.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	262	31	$35.00	$6.57
99213 Established patient office or other outpatient visit, typically 15 minutes	132	62	$130.94	$83.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	38	$191.40	$118.15
17000 Destruction of skin growth	50	33	$149.35	$55.45
17004 Destruction of precancer skin growth, 15 or more growths	43	26	$460.00	$162.98
17110 Destruction of up to 14 skin growths	31	19	$183.62	$102.03
11102 Tangential biopsy of single skin lesion	15	13	$176.59	$95.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	216	33	$24.25	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	92	62	$132.67	$84.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	44	$180.63	$118.43
17000 Destruction of skin growth	52	45	$129.18	$53.10
17004 Destruction of precancer skin growth, 15 or more growths	41	34	$352.95	$164.57
17110 Destruction of up to 14 skin growths	21	15	$177.76	$103.76
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$202.83	$136.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$169.78	$104.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$246.27	$155.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	166	27	$12.00	$6.25
99213 Established patient office or other outpatient visit, typically 15 minutes	54	36	$123.61	$85.60
17000 Destruction of skin growth	39	32	$109.00	$51.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	27	$175.00	$120.06
17110 Destruction of up to 14 skin growths	19	15	$148.68	$104.88
17004 Destruction of precancer skin growth, 15 or more growths	15	13	$229.00	$163.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	15	$100.00	$72.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$51.75	$41.54

Medical Specialties & State Licenses

CMS Verified: 2020-05-21

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9102455

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Kimberly Minott , APRN

Nurse Practitioner - Gerontology

NPI 1063309433

Advanced Practice Registered Nurse

Sara Cooke , APRN

Nurse Practitioner - Gerontology

NPI 1174119820

Advanced Practice Registered Nurse

Elisa Contreras , APRN

Nurse Practitioner - Family

NPI 1184194342

Advanced Practice Registered Nurse

Monica Lopez Quiles , APRN

Nurse Practitioner - Family

NPI 1295517084

Advanced Practice Registered Nurse

Dr. Amit Shah , MD

Internal Medicine - Medical Oncology

NPI 1407850449

Doctor of Medicine (M.D.)

Jessie Buchanan , APRN

Nurse Practitioner - Family

NPI 1427917228

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address May 21, 2020

Registered at 2285 CORPORATE CIR, STE 200, HENDERSON, NV 890747759 (Tel: 7023602763)

✅

NPI Profile Active January 07, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2009

Registered at 4420 SUN N LAKE BLVD, SEBRING, FL 338722164 (Tel: 8633851244)

📍

Updated Business Mailing Address January 07, 2009

Registered at 4420 SUN N LAKE BLVD, SEBRING, FL 338722164 (Tel: 8633851244)

👤

Provider Name / Credentials Updated January 07, 2009

Recorded as SANDRA FANTAUZZI, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2009

Physician Assistant (License #PA9102455 in FL)

🟢

Initial NPI Registration & Enumeration January 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982684205

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 20, 2006

Last Update: May 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2285 Corporate Cir, Ste 200

Henderson, NV 890747759

Phone: 7023602763

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.