Active NPI 1073503322 Individual Practitioner Female Practitioner

Mary Susan Sander , CNP

Nurse Practitioner • Canton, OH

Professional Overview & Biography Verified Profile Summary

Mary Sander, CNP is a registered healthcare professional specializing in Nurse Practitioner in Canton, OH. Practice services are available at 2726 FULTON DR NW under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2726 Fulton Dr Nw

Canton, OH 447183506

Telephone 3304555011

Fax 3305887127

Associated Practice Facility / Clinic

🏢 Gastroenterology Specialists Inc Facility NPI 1447231287

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.3 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

62 Specialists

Practicing in Canton, OH (4294 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	127	$161.67	$107.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$242.00	$141.85
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	77	70	$30.00	$13.97
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$110.55	$75.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$215.38	$144.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$302.43	$187.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	164	$156.00	$103.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$242.00	$133.07
99213 Established patient office or other outpatient visit, typically 15 minutes	51	50	$106.00	$71.07
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	$299.00	$168.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$209.00	$145.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	201	201	$242.00	$138.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	163	$156.00	$105.05
99213 Established patient office or other outpatient visit, typically 15 minutes	66	65	$106.00	$74.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$209.00	$142.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$160.00	$92.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$299.00	$182.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	232	$156.00	$107.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$242.00	$137.76
99213 Established patient office or other outpatient visit, typically 15 minutes	37	37	$106.00	$74.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$209.00	$152.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$299.00	$186.71
99441 Telephone medical discussion with physician, 5-10 minutes	16	16	$65.00	$46.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	186	$156.00	$90.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$242.00	$136.53
99213 Established patient office or other outpatient visit, typically 15 minutes	56	55	$106.00	$62.64
99441 Telephone medical discussion with physician, 5-10 minutes	22	22	$55.45	$35.68
99442 Telephone medical discussion with physician, 11-20 minutes	19	16	$80.32	$55.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$209.00	$122.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	329	$156.00	$88.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$242.00	$135.55
99213 Established patient office or other outpatient visit, typically 15 minutes	127	116	$106.00	$60.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$209.00	$120.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$299.00	$171.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	347	$156.00	$88.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	172	172	$242.00	$135.09
99213 Established patient office or other outpatient visit, typically 15 minutes	124	119	$106.00	$58.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	67	$209.00	$119.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$299.00	$167.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	290	$156.00	$85.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	181	181	$242.00	$129.51
99213 Established patient office or other outpatient visit, typically 15 minutes	140	132	$106.00	$57.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	60	$209.00	$114.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$299.00	$164.28

Medical Specialties & State Licenses

CMS Verified: 2020-05-12

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP-05340

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2179664 (OH)

Commercial Insurance / Payer ID Medicare Railroad

P00341076 (OH)

Commercial Insurance / Payer ID Anthem

000000492313 (OH)

Commercial Insurance / Payer ID Hometown

1073503322 (OH)

Commercial Insurance / Payer ID Aultcare

341773267G (OH)

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Sanjiv Khullar , MD

Internal Medicine - Gastroenterology

NPI 1043364656

Doctor of Medicine (M.D.)

Dr. Kenny Yung , MD

Internal Medicine - Gastroenterology

NPI 1093710055

Doctor of Medicine (M.D.)

Dr. Michael Gurney , MD

Internal Medicine - Gastroenterology

NPI 1235134321

Doctor of Medicine (M.D.)

Stephanie Burger , APRN

Nurse Practitioner

NPI 1316768807

Advanced Practice Registered Nurse

Sybil Dundon , FNP-C

Nurse Practitioner - Family

NPI 1467081851

Family Nurse Practitioner (Certified)

Dr. Jonathan Congeni , MD

Internal Medicine - Gastroenterology

NPI 1558523563

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 April 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2008

Registered at 2726 FULTON DR NW, CANTON, OH 447183506 (Tel: 3304555011)

📍

Updated Business Mailing Address April 14, 2008

Registered at 2726 FULTON DR NW, CANTON, OH 447183506 (Tel: 3304555011)

👤

Provider Name / Credentials Updated April 14, 2008

Recorded as MARY SANDER, C.N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2008

Nurse Practitioner (License #NP-05340 in OH)

🟢

Initial NPI Registration & Enumeration October 27, 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: 1073503322

Entity Type:

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

Enumeration Date: October 27, 2005

Last Update: May 12, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2726 Fulton Dr Nw

Canton, OH 447183506

Phone: 3304555011

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.