Active NPI 1710167069 Individual Practitioner Male Practitioner

Dr. Mark Frank Sanchez , MD

Surgery • Schenectady, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sanchez, MD is a certified Surgery practicing in Schenectady, NY. With approximately 23 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 2003, Dr. Sanchez delivers high-quality medical care to the local community at 624 MCCLELLAN ST.

Dr. Sanchez is affiliated with Ellis Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

624 Mcclellan St
Suite G05

Schenectady, NY 123041020

Telephone 5183475537

Fax 5183822295

Associated Practice Facility / Clinic

🏢 St. Clare's Hospital Of Schenectady New York Facility NPI 1669570313

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Schenectady, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -6.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Schenectady, NY (2269 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sanchez (23 Years) 23 Yrs

Schenectady Specialty Average (29.5 Years) 29.5 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$407.00	$123.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$404.00	$122.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	13	$118.00	$46.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$284.33	$84.45
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$301.00	$77.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$387.00	$124.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$367.00	$127.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	13	$205.00	$75.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$222.00	$93.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$368.00	$132.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	14	$194.00	$69.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$211.00	$96.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$349.00	$133.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	14	$106.00	$37.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$350.00	$134.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	17	$185.00	$71.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$201.00	$99.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$332.00	$135.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	41	$350.00	$137.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	23	$185.00	$72.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	16	$201.00	$79.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$332.00	$128.73
47562 Removal of gallbladder using an endoscope	11	11	$1688.00	$657.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	54	$350.00	$133.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	25	$185.00	$71.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$201.00	$77.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$345.69	$125.97
47562 Removal of gallbladder using an endoscope	18	18	$1688.00	$548.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	41	$185.00	$70.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	59	$350.00	$132.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$332.00	$125.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$209.67	$76.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	30	$185.00	$69.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	47	$350.00	$132.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$355.73	$118.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	21	$211.40	$74.06

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 246574

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

02956398 (NY)

Hospital & Practice Group Affiliations

Ellis Hospital

1101 Nott St, Schenecctady, NY 123082425

Phone: 5182434000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Robert Mckay , MD

Surgery

NPI 1700865714

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 May 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2016

Registered at 624 MCCLELLAN ST, SUITE G05, SCHENECTADY, NY 123041020 (Tel: 5183475537)

📍

Updated Business Mailing Address May 05, 2016

Registered at 624 MCCLELLAN ST, SUITE G05, SCHENECTADY, NY 123041020 (Tel: 5183475537)

👤

Provider Name / Credentials Updated May 05, 2016

Recorded as MARK SANCHEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2016

Surgery (License #246574 in NY)

🟢

Initial NPI Registration & Enumeration November 04, 2007

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: 1710167069

Entity Type:

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

Enumeration Date: November 04, 2007

Last Update: May 05, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

624 Mcclellan St, Suite G05

Schenectady, NY 123041020

Phone: 5183475537

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.