Active NPI 1205986882 Individual Practitioner Male Practitioner

Dr. Stephen Degnan Sandoval , MD

Orthopaedic Surgery • Sherman, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Sandoval, MD is a certified Orthopaedic Surgery practicing in Sherman, TX. With approximately 28 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1998, Dr. Sandoval delivers high-quality medical care to the local community at 321 N HIGHLAND AVE.

Dr. Sandoval accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

321 N Highland Ave
Ste 120

Sherman, TX 750927378

Telephone 9038707936

Fax 9039570367

Associated Practice Facility / Clinic

🏢 Texoma Neurology Associates, Pa Facility NPI 1669470092

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Sherman, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +4.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Sherman, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sandoval (28 Years) 28 Yrs

Sherman Specialty Average (23.5 Years) 23.5 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
J1010 Injection, methylprednisolone acetate, 1 mg	22,970	209	$0.19	$0.13
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,880	42	$23.84	$8.82
99213 Established patient office or other outpatient visit, typically 15 minutes	472	269	$200.00	$85.79
20610 Aspiration and/or injection of fluid from large joint	417	258	$210.00	$61.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	142	$300.00	$122.53
73564 X-ray of knee, 4 or more views	169	153	$150.00	$40.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$450.00	$159.55
73030 X-ray of shoulder, minimum of 2 views	125	107	$130.00	$30.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$350.00	$106.41
J1040 Injection, methylprednisolone acetate, 80 mg	83	74	$15.00	$9.50
73502 X-ray of hip, 2-3 views	53	47	$150.00	$41.16
73562 X-ray of knee, 3 views	42	38	$135.00	$35.39
73130 X-ray of hand, minimum of 3 views	32	29	$110.00	$32.35
73110 X-ray of wrist, minimum of 3 views	31	19	$127.42	$35.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	23	$209.00	$75.21
20550 Injection into tendon or ligament	17	12	$150.00	$51.92
29822 Removal of shoulder joint tissue using an endoscope	15	14	$3000.00	$260.88
23130 Removal or repair of collar bone and shoulder blade joint	15	14	$2000.00	$298.42
23430 Anchoring of biceps tendon	14	13	$2000.00	$383.85
27447 Replacement of knee joint, both sides of knee	12	12	$5700.00	$1194.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,592	41	$23.84	$9.33
99213 Established patient office or other outpatient visit, typically 15 minutes	497	301	$200.00	$86.74
20610 Aspiration and/or injection of fluid from large joint	304	207	$210.00	$61.66
J1040 Injection, methylprednisolone acetate, 80 mg	274	201	$15.00	$11.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	138	$300.00	$123.03
73564 X-ray of knee, 4 or more views	132	119	$150.00	$41.51
73030 X-ray of shoulder, minimum of 2 views	112	97	$130.00	$31.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$450.00	$159.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$350.00	$108.12
73502 X-ray of hip, 2-3 views	69	55	$150.00	$41.99
73562 X-ray of knee, 3 views	43	41	$131.28	$35.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	26	$125.00	$76.69
73110 X-ray of wrist, minimum of 3 views	22	15	$125.00	$36.63
29822 Removal of shoulder joint tissue using an endoscope	19	19	$3000.00	$250.49
73130 X-ray of hand, minimum of 3 views	18	18	$110.00	$32.88
23130 Removal or repair of collar bone and shoulder blade joint	17	17	$2000.00	$300.49
27447 Replacement of knee joint, both sides of knee	16	16	$5700.00	$1233.33
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	13	12	$300.00	$96.31
23430 Anchoring of biceps tendon	12	12	$2000.00	$420.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,922	28	$23.84	$10.10
99213 Established patient office or other outpatient visit, typically 15 minutes	489	299	$200.00	$87.98
20610 Aspiration and/or injection of fluid from large joint	246	181	$210.00	$62.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	242	59	$3.00	$1.11
J1040 Injection, methylprednisolone acetate, 80 mg	164	139	$15.00	$11.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$259.46	$108.17
73564 X-ray of knee, 4 or more views	116	105	$150.00	$43.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	87	$287.76	$123.67
73030 X-ray of shoulder, minimum of 2 views	86	78	$130.00	$32.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$356.12	$161.93
73562 X-ray of knee, 3 views	46	40	$125.00	$38.25
73502 X-ray of hip, 2-3 views	42	40	$142.50	$43.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	27	$125.00	$68.96
73110 X-ray of wrist, minimum of 3 views	26	13	$125.00	$37.84
29822 Removal of shoulder joint tissue using an endoscope	21	21	$3000.00	$251.22
23130 Removal or repair of collar bone and shoulder blade joint	19	19	$2000.00	$300.04
73070 X-ray of elbow, 2 views	17	12	$105.00	$27.43
73130 X-ray of hand, minimum of 3 views	16	15	$110.00	$34.18
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	15	15	$3500.00	$1148.52
27447 Replacement of knee joint, both sides of knee	14	14	$5700.00	$1163.81
73610 X-ray of ankle, minimum of 3 views	12	11	$115.00	$34.77
23412 Repair of chronic torn shoulder rotator cuff	11	11	$3050.00	$823.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,256	32	$23.84	$10.67
99213 Established patient office or other outpatient visit, typically 15 minutes	543	341	$184.90	$88.92
20610 Aspiration and/or injection of fluid from large joint	263	186	$211.71	$61.97
J1040 Injection, methylprednisolone acetate, 80 mg	240	178	$15.00	$10.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$250.00	$108.58
73030 X-ray of shoulder, minimum of 2 views	114	97	$130.00	$31.47
73564 X-ray of knee, 4 or more views	94	88	$150.00	$42.75
73562 X-ray of knee, 3 views	64	53	$125.00	$37.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	53	$125.00	$70.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	53	$232.73	$125.80
73502 X-ray of hip, 2-3 views	44	44	$115.00	$43.52
73130 X-ray of hand, minimum of 3 views	31	20	$110.00	$34.05
73100 X-ray of wrist, 2 views	24	13	$135.00	$31.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$350.00	$164.91
29822 Removal of shoulder joint tissue using an endoscope	18	18	$3000.00	$266.08
23130 Removal or repair of collar bone and shoulder blade joint	18	18	$2000.00	$303.28
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$3500.00	$1165.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,488	23	$23.84	$10.75
99213 Established patient office or other outpatient visit, typically 15 minutes	537	308	$150.00	$73.12
J1040 Injection, methylprednisolone acetate, 80 mg	251	175	$15.00	$11.43
20610 Aspiration and/or injection of fluid from large joint	250	172	$213.32	$60.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$250.00	$104.87
73564 X-ray of knee, 4 or more views	110	104	$150.00	$39.57
73030 X-ray of shoulder, minimum of 2 views	104	79	$130.00	$30.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	75	$200.00	$105.50
73562 X-ray of knee, 3 views	71	64	$125.00	$36.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	38	$125.00	$71.98
73100 X-ray of wrist, 2 views	42	20	$135.00	$30.22
73502 X-ray of hip, 2-3 views	41	34	$115.00	$41.79
73130 X-ray of hand, minimum of 3 views	29	21	$110.00	$32.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$350.00	$151.35
73070 X-ray of elbow, 2 views	24	14	$105.00	$26.27
29822 Removal of shoulder joint tissue using an endoscope	22	22	$3000.00	$286.22
23130 Removal or repair of collar bone and shoulder blade joint	22	22	$2000.00	$304.14
23430 Anchoring of biceps tendon	14	14	$2000.00	$396.70
27447 Replacement of knee joint, both sides of knee	13	13	$5700.00	$1350.87
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3500.00	$1191.14
23410 Repair of torn tendons of shoulder, open procedure	11	11	$2600.00	$816.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,248	20	$23.84	$11.22
99213 Established patient office or other outpatient visit, typically 15 minutes	494	301	$150.00	$72.08
20610 Aspiration and/or injection of fluid from large joint	242	168	$211.65	$58.75
J1040 Injection, methylprednisolone acetate, 80 mg	228	165	$15.00	$12.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$210.24	$104.99
73564 X-ray of knee, 4 or more views	118	105	$150.00	$37.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	97	$200.00	$105.00
73030 X-ray of shoulder, minimum of 2 views	99	77	$130.00	$27.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	67	$125.00	$71.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$304.03	$160.43
73562 X-ray of knee, 3 views	62	55	$125.00	$33.99
73502 X-ray of hip, 2-3 views	56	48	$115.00	$38.65
73100 X-ray of wrist, 2 views	42	20	$135.00	$29.12
73610 X-ray of ankle, minimum of 3 views	30	13	$115.00	$30.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$100.00	$43.69
23130 Removal or repair of collar bone and shoulder blade joint	19	19	$2000.00	$301.58
73070 X-ray of elbow, 2 views	19	14	$105.00	$24.67
29822 Removal of shoulder joint tissue using an endoscope	19	19	$3000.00	$280.80
27447 Replacement of knee joint, both sides of knee	19	18	$5700.00	$1247.99
73130 X-ray of hand, minimum of 3 views	18	16	$110.00	$30.44
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$3500.00	$1183.95
23412 Repair of chronic torn shoulder rotator cuff	12	12	$3050.00	$841.56
27245 Treatment of broken neck of thigh bone with bone implant	12	11	$4000.00	$1218.32
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	12	12	$250.00	$89.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,632	27	$23.84	$11.75
99213 Established patient office or other outpatient visit, typically 15 minutes	575	329	$150.00	$69.97
20610 Aspiration and/or injection of fluid from large joint	266	184	$215.08	$58.48
J1040 Injection, methylprednisolone acetate, 80 mg	255	183	$15.00	$12.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$200.00	$101.49
73564 X-ray of knee, 4 or more views	120	110	$150.00	$35.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	94	$200.00	$103.27
73030 X-ray of shoulder, minimum of 2 views	84	75	$130.00	$26.56
73562 X-ray of knee, 3 views	82	72	$125.00	$32.43
73502 X-ray of hip, 2-3 views	49	41	$115.00	$37.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	43	$125.00	$69.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$300.00	$158.88
73560 X-ray of knee, 1-2 views	41	23	$110.00	$27.73
73100 X-ray of wrist, 2 views	40	17	$135.00	$27.95
27447 Replacement of knee joint, both sides of knee	30	29	$5700.00	$1325.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$100.00	$42.10
73610 X-ray of ankle, minimum of 3 views	17	11	$115.00	$28.56
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$4000.00	$1140.91
23130 Removal or repair of collar bone and shoulder blade joint	14	14	$2000.00	$295.99
29822 Removal of shoulder joint tissue using an endoscope	14	14	$3000.00	$276.59
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	14	14	$250.00	$87.59
23405 Incision of shoulder tendon	11	11	$1850.00	$301.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,928	46	$23.84	$12.42
99213 Established patient office or other outpatient visit, typically 15 minutes	613	348	$150.00	$69.34
20610 Aspiration and/or injection of fluid from large joint	336	221	$216.34	$57.88
J1040 Injection, methylprednisolone acetate, 80 mg	286	203	$15.00	$10.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	204	204	$200.00	$102.04
73564 X-ray of knee, 4 or more views	120	110	$150.00	$37.07
73030 X-ray of shoulder, minimum of 2 views	99	81	$130.00	$26.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	65	$200.00	$102.83
73562 X-ray of knee, 3 views	65	53	$123.22	$33.21
73100 X-ray of wrist, 2 views	61	33	$135.00	$27.26
73502 X-ray of hip, 2-3 views	57	54	$115.00	$37.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$300.00	$154.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	43	$125.00	$70.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$100.00	$41.43
27447 Replacement of knee joint, both sides of knee	29	28	$5700.00	$1283.18
73560 X-ray of knee, 1-2 views	27	16	$110.00	$28.88
73610 X-ray of ankle, minimum of 3 views	22	13	$115.00	$29.56
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	19	18	$3500.00	$1160.69
73070 X-ray of elbow, 2 views	17	14	$105.00	$25.60
23130 Removal or repair of collar bone and shoulder blade joint	16	16	$2000.00	$311.62
29822 Removal of shoulder joint tissue using an endoscope	15	15	$3000.00	$274.03
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$4000.00	$1194.78
29875 Partial removal of knee joint lining using an endoscope	11	11	$2500.00	$117.28

Medical Specialties & State Licenses

CMS Verified: 2020-10-02

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX M6863

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License TX M6863

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

196461101 (TX)

Medicaid State Provider ID

200198900A (OK)

Commercial Insurance / Payer ID Blue Cross Blue Shield

8BJ960 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Shannon Cain , PA-C

Physician Assistant - Surgical

NPI 1205838208

Physician Assistant (Certified)

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) October 02, 2020

Orthopaedic Surgery (License #M6863 in TX)

✅

NPI Profile Active July 13, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 13, 2010

Registered at 321 N HIGHLAND AVE, STE 120, SHERMAN, TX 750927378 (Tel: 9038707936)

📍

Updated Business Mailing Address July 13, 2010

Registered at 321 N HIGHLAND AVE, STE 120, SHERMAN, TX 750927378 (Tel: 9038707936)

👤

Provider Name / Credentials Updated July 13, 2010

Recorded as STEPHEN SANDOVAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2010

Orthopaedic Surgery (License #M6863 in TX)

🟢

Initial NPI Registration & Enumeration January 12, 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: 1205986882

Entity Type:

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

Enumeration Date: January 12, 2007

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

321 N Highland Ave, Ste 120

Sherman, TX 750927378

Phone: 9038707936

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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