Active NPI 1649273160 Individual Practitioner Female Practitioner

Dr. Stephanie L Sandberg , DO

Surgery • O Fallon, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Sandberg, DO is a certified Surgery practicing in O Fallon, MO. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Sandberg delivers high-quality medical care to the local community at 20 PROGRESS POINT PKWY.

Dr. Sandberg is affiliated with Physician Groups Lc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20 Progress Point Pkwy
Suite 206

O Fallon, MO 633682206

Telephone 6363441073

Fax 6363441075

Associated Practice Facility / Clinic

🏢 Wuca-O'fallon Pediatrics, Llc Facility NPI 1366830572

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in O Fallon, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs Matches City Avg

City Avg: 24.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

1 Specialists

Practicing in O Fallon, MO (766 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sandberg (24 Years) 24 Yrs

O Fallon Specialty Average (24.0 Years) 24.0 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
11042 Removal of skin and tissue, 20.0 sq cm or less	205	55	$280.00	$55.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	61	$99.39	$33.86
99213 Established patient office or other outpatient visit, typically 15 minutes	101	55	$150.70	$62.79
97597 Removal of tissue from wound, 20.0 sq cm or less	74	33	$140.00	$33.90
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	52	16	$103.00	$24.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$202.00	$78.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	17	$230.00	$93.33
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	23	17	$545.00	$147.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$339.00	$160.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	15	$276.00	$125.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	272	76	$224.00	$55.71
99213 Established patient office or other outpatient visit, typically 15 minutes	170	77	$136.00	$64.21
97597 Removal of tissue from wound, 20.0 sq cm or less	137	54	$145.00	$34.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	67	$84.00	$34.58
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	79	15	$82.00	$24.65
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	62	17	$268.00	$80.38
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	30	14	$436.00	$149.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$336.00	$161.74
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	22	16	$154.82	$27.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	17	$281.00	$126.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$202.00	$80.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	163	58	$216.00	$57.95
99213 Established patient office or other outpatient visit, typically 15 minutes	152	74	$131.00	$65.91
97597 Removal of tissue from wound, 20.0 sq cm or less	110	42	$140.00	$35.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	46	$81.00	$35.75
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	33	16	$133.64	$28.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$324.00	$165.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$195.00	$82.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$212.00	$105.74
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	18	12	$421.00	$151.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$271.00	$131.79
45380 Biopsy of large bowel using an endoscope	11	11	$872.00	$148.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	80	$127.00	$66.90
11042 Removal of skin and tissue, 20.0 sq cm or less	179	56	$209.00	$59.66
97597 Removal of tissue from wound, 20.0 sq cm or less	140	48	$135.00	$35.86
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	106	13	$76.00	$26.37
97598 Removal of tissue from wound, each additional 20.0 sq cm	56	13	$44.00	$25.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	37	$78.00	$35.85
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	39	19	$156.41	$30.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$189.00	$83.30
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	23	12	$408.00	$154.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	15	$187.00	$95.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$205.00	$111.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	73	$123.00	$50.99
97597 Removal of tissue from wound, 20.0 sq cm or less	189	68	$131.00	$36.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	78	$75.00	$25.94
11042 Removal of skin and tissue, 20.0 sq cm or less	88	43	$202.00	$60.03
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	47	11	$73.00	$27.35
97598 Removal of tissue from wound, each additional 20.0 sq cm	45	14	$42.00	$26.41
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	42	13	$242.00	$86.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	20	$181.00	$76.46
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	27	18	$126.74	$27.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$304.00	$164.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$183.00	$76.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	165	56	$127.00	$23.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	75	$72.00	$25.16
11042 Removal of skin and tissue, 20.0 sq cm or less	113	49	$196.00	$60.79
99213 Established patient office or other outpatient visit, typically 15 minutes	88	53	$119.00	$50.66
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	38	14	$234.00	$85.21
97598 Removal of tissue from wound, each additional 20.0 sq cm	36	12	$40.00	$11.29
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	34	13	$70.00	$26.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	17	$175.00	$78.12
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	22	14	$119.18	$26.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$298.06	$154.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	271	72	$123.00	$23.20
11042 Removal of skin and tissue, 20.0 sq cm or less	186	66	$190.00	$59.09
97598 Removal of tissue from wound, each additional 20.0 sq cm	127	15	$39.00	$10.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	68	$70.00	$25.14
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	110	16	$68.00	$26.46
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$116.00	$50.20
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	26	14	$115.27	$27.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$286.00	$151.46
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	18	13	$373.00	$152.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	112	54	$118.00	$22.44
97597 Removal of tissue from wound, 20.0 sq cm or less	108	29	$153.00	$22.49
11042 Removal of skin and tissue, 20.0 sq cm or less	89	36	$182.00	$59.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	41	$64.00	$24.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	17	$73.00	$37.68
11042 Removal of skin and tissue, 20.0 sq cm or less	32	19	$211.00	$59.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	22	$79.00	$27.27
99213 Established patient office or other outpatient visit, typically 15 minutes	27	19	$107.00	$48.87
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$132.00	$54.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$300.00	$131.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$196.00	$85.77
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$187.00	$97.45

Medical Specialties & State Licenses

CMS Verified: 2021-02-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2004012744

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

208778902 (MO)

Hospital & Practice Group Affiliations

Physician Groups Lc

1110 Highlands Plaza Dr E, Saint Louis, MO 631101351

Phone: 3142730195

Physician Groups Lc

2630 Hwy K, O Fallon, MO 633686624

Phone: 6362405454

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Eldad Bialecki , MD

Internal Medicine - Gastroenterology

NPI 1003952458

Doctor of Medicine (M.D.)

Karen Turner , FNP

Nurse Practitioner

NPI 1154849578

Family Nurse Practitioner

Betsey Steimel , APRN FNP

Nurse Practitioner

NPI 1376196162

APRNFNP

Dr. Nikol Smart , MD

Obstetrics & Gynecology

NPI 1417211756

Doctor of Medicine (M.D.)

Dr. Qaiser Jawaid , MD

Internal Medicine - Gastroenterology

NPI 1437110681

Doctor of Medicine (M.D.)

Dr. Milton Ochieng' , MD

Internal Medicine - Gastroenterology

NPI 1477717080

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2021

Surgery (License #2004012744 in MO)

✅

NPI Profile Active September 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2016

Registered at 20 PROGRESS POINT PKWY, SUITE 206, O FALLON, MO 633682206 (Tel: 6363441073)

📍

Updated Business Mailing Address September 27, 2016

Registered at 670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 631418573 (Tel: 6363441073)

👤

Provider Name / Credentials Updated September 27, 2016

Recorded as STEPHANIE SANDBERG, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2016

Internal Medicine (License #2004012744 in MO)

🟢

Initial NPI Registration & Enumeration May 30, 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: 1649273160

Entity Type:

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

Enumeration Date: May 30, 2005

Last Update: February 04, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

670 Mason Ridge Center Dr, Ste 300

Saint Louis, MO 631418573

Phone: 6363441073

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.