Active NPI 1164426094 Individual Practitioner Male Practitioner

Dr. Oscar Mauricio Sanchez , MD

Internal Medicine • Mchenry, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Oscar Sanchez, MD is a certified Internal Medicine practicing in Mchenry, IL. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Sanchez delivers high-quality medical care to the local community at 5435 BULL VALLEY RD.

Dr. Sanchez accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual depression screening, 5 to, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5435 Bull Valley Rd
Ste 218

Mchenry, IL 600507435

Telephone 8155780224

Fax 8155780525

Associated Practice Facility / Clinic

🏢 Omso Medical Ltd Facility NPI 1104948991

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mchenry, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +20.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

72 Specialists

Practicing in Mchenry, IL (7544 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sanchez (41 Years) 41 Yrs

Mchenry Specialty Average (20.6 Years) 20.6 Yrs

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	186	63	$125.00	$86.68
G0444 Annual depression screening, 5 to 15 minutes	33	33	$89.30	$16.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$130.00	$123.50
99442 Telephone medical discussion with physician, 11-20 minutes	19	14	$125.00	$86.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	72	$125.00	$86.66
99442 Telephone medical discussion with physician, 11-20 minutes	34	22	$125.00	$86.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$165.20	$122.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$130.00	$123.39
G0444 Annual depression screening, 5 to 15 minutes	24	24	$95.00	$17.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$173.08	$158.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	63	$125.00	$89.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	37	$196.18	$126.24
99442 Telephone medical discussion with physician, 11-20 minutes	31	25	$95.65	$89.05
G0444 Annual depression screening, 5 to 15 minutes	27	27	$95.00	$17.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$130.00	$129.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	54	$120.57	$89.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	53	$165.20	$127.24
99442 Telephone medical discussion with physician, 11-20 minutes	49	31	$90.71	$89.93
G0444 Annual depression screening, 5 to 15 minutes	35	35	$95.00	$17.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$130.00	$129.52
99238 Hospital discharge day management, 30 minutes or less	15	14	$190.00	$70.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	49	$96.00	$73.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	57	$165.20	$106.35
G0444 Annual depression screening, 5 to 15 minutes	42	42	$90.48	$17.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$130.00	$112.47
99442 Telephone medical discussion with physician, 11-20 minutes	31	26	$92.13	$73.20
99238 Hospital discharge day management, 30 minutes or less	17	12	$190.00	$72.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	78	$96.00	$71.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	76	$165.20	$105.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	23	$225.00	$103.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$130.00	$111.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$170.00	$165.86
99238 Hospital discharge day management, 30 minutes or less	27	22	$190.00	$72.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	22	$305.00	$200.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$125.00	$51.40
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	22	12	$175.00	$105.37
99306 Initial nursing facility visit, typically 45 minutes per day	15	14	$250.00	$173.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	256	86	$96.00	$70.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	80	$164.71	$104.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	22	$225.00	$104.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	60	60	$169.33	$165.82
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	50	11	$200.00	$142.85
99238 Hospital discharge day management, 30 minutes or less	38	28	$190.00	$72.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	25	$305.00	$203.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$130.00	$112.62
99306 Initial nursing facility visit, typically 45 minutes per day	26	25	$250.00	$174.34
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	24	12	$175.00	$105.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	13	$125.00	$51.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$225.00	$160.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	336	109	$96.21	$70.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	85	$164.71	$103.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	119	30	$225.67	$105.20
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	57	31	$200.00	$142.33
99306 Initial nursing facility visit, typically 45 minutes per day	57	53	$250.00	$174.19
99238 Hospital discharge day management, 30 minutes or less	52	40	$190.00	$71.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$225.00	$159.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	14	$125.00	$71.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	29	$305.00	$202.69
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	34	19	$175.00	$105.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$170.00	$164.61
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	30	26	$375.00	$218.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$130.00	$111.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$125.20	$51.66
99220 Hospital observation care, typically 70 minutes	16	12	$276.25	$184.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	13	11	$104.98	$39.47
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	11	$165.00	$136.34

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 36095395

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License IL 036095395

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036095395 (IL)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Allyson Warnock , PT, DPT

Physical Therapist

NPI 1366997348

Physical Therapist, Doctor of Physical Therapy

Cindy Herreweyers , LCSW

Social Worker - Clinical

NPI 1386762979

Licensed Clinical Social Worker

Dr. Christian Straube , PhD

Counselor - Professional

NPI 1396871836

Doctor of Philosophy (Ph.D.)

Dr. Deborah Mitchell , PT, DPT, MPT

Physical Therapist

NPI 1417975566

Physical Therapist, Doctor of Physical Therapy, Master of Physical Therapy

Ami Kalisek , LMT

Massage Therapist

NPI 1538409909

Licensed Massage Therapist

Dr. Thomas Tilot , MD

Internal Medicine

NPI 1720146400

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2011

Registered at 5435 BULL VALLEY RD, STE 218, MCHENRY, IL 600507435 (Tel: 8155780224)

📍

Updated Business Mailing Address September 14, 2011

Registered at 5435 BULL VALLEY RD, SUITE 218, MCHENRY, IL 600507434 (Tel: 8155780224)

👤

Provider Name / Credentials Updated September 14, 2011

Recorded as OSCAR SANCHEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2011

Family Medicine (License #036095395 in IL)

🟢

Initial NPI Registration & Enumeration June 09, 2005

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: 1164426094

Entity Type:

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

Enumeration Date: June 09, 2005

Last Update: September 14, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5435 Bull Valley Rd, Suite 218

Mchenry, IL 600507434

Phone: 8155780224

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

⚠️ Medical Disclaimer

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