Active NPI 1134198880 Individual Practitioner Female Practitioner

Dr. Sandra L Sacks , MD

Plastic Surgery • Middletown, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Sacks, MD is a certified Plastic Surgery practicing in Middletown, NY. With approximately 29 years of clinical experience since graduating from New York Medical College in 1997, Dr. Sacks delivers high-quality medical care to the local community at 95 CRYSTAL RUN RD.

Dr. Sacks is affiliated with Crystal Run Healthcare Physicians Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

95 Crystal Run Rd

Middletown, NY 109417001

Telephone 8457036999

Fax 8457036297

Associated Practice Facility / Clinic

🏢 Crystal Run Ambulatory Surgery Center Of Middletown, Llc Facility NPI 1922230853

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Middletown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -3.5 yrs vs City Avg

City Avg: 32.5 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Middletown, NY (476 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sacks (29 Years) 29 Yrs

Middletown Specialty Average (32.5 Years) 32.5 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$290.00	$119.23
99213 Established patient office or other outpatient visit, typically 15 minutes	73	58	$235.00	$97.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$425.00	$179.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$325.00	$137.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$150.00	$61.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$565.00	$234.91
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$930.00	$203.83
36415 Insertion of needle into vein for collection of blood sample	12	12	$18.17	$8.65
80053 Blood test, comprehensive group of blood chemicals	11	11	$36.00	$10.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	55	$235.00	$97.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$290.00	$121.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	28	$150.00	$61.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$425.00	$181.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$320.23	$138.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	16	$190.00	$80.36
36415 Insertion of needle into vein for collection of blood sample	17	16	$18.00	$8.40
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	17	15	$80.00	$24.50
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	17	15	$250.00	$73.50
80053 Blood test, comprehensive group of blood chemicals	14	14	$36.00	$10.35
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	13	13	$19.00	$6.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$288.33	$123.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	51	$146.52	$63.17
99213 Established patient office or other outpatient visit, typically 15 minutes	66	54	$231.52	$98.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$424.63	$181.35
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	38	37	$65.79	$24.68
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	38	37	$250.00	$74.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	19	$190.00	$74.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$320.00	$135.98
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$200.00	$81.27
36415 Insertion of needle into vein for collection of blood sample	22	21	$18.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	15	15	$36.00	$10.41
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$650.00	$127.88
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	12	12	$19.00	$6.38
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$2917.92	$940.38
11104 Punch biopsy, first skin growth	11	11	$500.00	$137.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	59	$136.71	$61.87
99213 Established patient office or other outpatient visit, typically 15 minutes	63	53	$219.29	$100.58
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$200.96	$79.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$280.00	$125.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	43	30	$190.00	$75.95
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	36	33	$60.00	$25.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	36	33	$250.00	$75.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$414.50	$187.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$314.44	$144.24
36415 Insertion of needle into vein for collection of blood sample	20	19	$18.00	$3.00
80053 Blood test, comprehensive group of blood chemicals	17	16	$36.00	$10.56
11104 Punch biopsy, first skin growth	16	16	$458.13	$148.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	11	$31.00	$7.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	11	$1027.08	$322.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	55	$183.80	$80.26
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$195.59	$83.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$272.20	$118.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	35	$111.90	$50.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$260.00	$118.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$392.31	$174.58
11104 Punch biopsy, first skin growth	19	19	$500.00	$140.65
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	14	$105.00	$47.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	12	$160.00	$75.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	78	$98.78	$47.85
99213 Established patient office or other outpatient visit, typically 15 minutes	101	57	$169.70	$77.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$250.36	$115.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	37	$247.21	$115.72
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$175.00	$81.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	19	$151.88	$73.11
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	18	17	$180.00	$95.64
36415 Insertion of needle into vein for collection of blood sample	17	15	$18.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$374.62	$175.26
11104 Punch biopsy, first skin growth	13	12	$474.23	$134.79
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$31.00	$8.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	79	$95.07	$46.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$232.46	$112.77
99213 Established patient office or other outpatient visit, typically 15 minutes	99	72	$155.30	$76.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	40	$227.55	$113.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$348.39	$173.60
21012 Removal of (2 centimeters or greater) tissue growth beneath the skin of face and scalp	13	11	$1015.00	$341.32
11100 Biopsy of single growth of skin and/or tissue	13	12	$264.23	$100.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	102	$154.70	$76.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$228.94	$114.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$350.00	$172.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	48	$225.00	$112.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	20	$92.68	$46.02
11100 Biopsy of single growth of skin and/or tissue	15	15	$254.00	$106.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	11	$140.00	$72.39
36415 Insertion of needle into vein for collection of blood sample	14	14	$18.00	$2.94
19318 Breast reduction	13	13	$4000.00	$1291.47
21012 Removal of (2 centimeters or greater) tissue growth beneath the skin of face and scalp	11	11	$1015.00	$338.69

Medical Specialties & State Licenses

CMS Verified: 2020-10-15

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 211924

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02620157 (NY)

Hospital & Practice Group Affiliations

Crystal Run Healthcare Physicians Llp

300 Crystal Run Rd, Middletown, NY 109414069

Phone: 8456926999

Practice Associates & Co-Workers

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

40 Associated Practitioners

Richard Escano , PT

Physical Therapist

NPI 1003018722

Physical Therapist

Dr. Rafeel Syed , MD

Internal Medicine - Nephrology

NPI 1003190711

Doctor of Medicine (M.D.)

Alexandriah Sabarese , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1003460338

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Nancy Linneman , MD

Internal Medicine - Pulmonary Disease

NPI 1003816604

Doctor of Medicine (M.D.)

Chiquita Houston-Armstrong , NP

Nurse Practitioner - Family

NPI 1003826132

Nurse Practitioner

Dr. Peggy Nelson , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1013000629

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 November 19, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2009

Registered at 95 CRYSTAL RUN RD, MIDDLETOWN, NY 109417001 (Tel: 8457036999)

📍

Updated Business Mailing Address November 19, 2009

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414028 (Tel: 8457036999)

👤

Provider Name / Credentials Updated November 19, 2009

Recorded as SANDRA SACKS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2009

Plastic Surgery (License #211924 in NY)

🟢

Initial NPI Registration & Enumeration March 15, 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: 1134198880

Entity Type:

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

Enumeration Date: March 15, 2006

Last Update: October 15, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

155 Crystal Run Rd

Middletown, NY 109414028

Phone: 8457036999

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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