Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902074503 Individual Practitioner Male Practitioner

Dr. William Rafael Sanchez , MD

Surgery • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Sanchez, MD is a certified Surgery practicing in Lexington, KY. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Sanchez delivers high-quality medical care to the local community at 450 E NEW CIRCLE RD.

Dr. Sanchez is affiliated with South Central Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

450 E New Circle Rd

Lexington, KY 405052619

Telephone 8595233797
Fax 8595233948
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lexington, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +3.0 yrs vs City Avg
City Avg: 20.0 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
73 Specialists

Practicing in Lexington, KY (495 Statewide)

Telehealth Adoption Rate
4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sanchez (23 Years) 23 Yrs
Lexington Specialty Average (20.0 Years) 20.0 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
99285 Emergency department visit for life threatening or functioning severity
119 95 $1631.00 $165.63
99284 Emergency department visit with moderate level of medical decision making
95 84 $1123.00 $114.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
52 47 $732.48 $161.80
99239 Hospital discharge day management, more than 30 minutes
32 31 $1003.00 $106.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
25 25 $502.00 $121.01
99238 Hospital discharge day management, 30 minutes or less
18 18 $684.00 $75.13
99291 Critical care, first 30-74 minutes
14 13 $2085.00 $199.86

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ AU-2903599-9914

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License KY 42437

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.

General Practice

NUCC Taxonomy Code: 208D00000X

State License CT 050155

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License KY 42437

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100072140 (KY)
Commercial Insurance / Payer ID Bcbs Ky
1902074503 (KY)
Commercial Insurance / Payer ID Tn Bcbs
4220249 (TN)

Hospital & Practice Group Affiliations

South Central Physicians Pllc

4604 Us Hwy 60 W, Morganfield, KY 424376515

Phone: 2703895000

Practice Associates & Co-Workers

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

1 Associated Practitioners
Corinne Sweeney , PA-C

Physician Assistant

NPI 1538104047

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2015

Registered at 450 E NEW CIRCLE RD, LEXINGTON, KY 405052619 (Tel: 8595233797)

📍
Updated Business Mailing Address July 08, 2015

Registered at 450 E NEW CIRCLE RD, LEXINGTON, KY 405052619 (Tel: 8595233797)

👤
Provider Name / Credentials Updated July 08, 2015

Recorded as WILLIAM SANCHEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2015

Emergency Medicine (License #42437 in KY)

🟢
Initial NPI Registration & Enumeration February 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. William Sanchez. Be the first to share your experience!

Sign in to leave a review for Dr. William Sanchez

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1902074503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2008
Last Update: July 08, 2015
Sole Proprietor: No

Mailing Address

450 E New Circle Rd

Lexington, KY 405052619

Phone: 8595233797

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.