Carlos Sanchez, DO
NPI 1255624896 · Family Medicine Physician · Newark, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Sanchez, DO is a Family Medicine Physician provider in Newark, NJ (NPI 1255624896).
Provider details
- NPI number
- 1255624896
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 25MB09378700 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,232 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 832 | $115 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 130 | $194 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 76 | $101 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 65 | $142 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 48 | $136 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 57 | 56 |
| Fluticasone Propionate | 50 | 32 |
| Atorvastatin Calcium | 39 | 23 |
| Azithromycin | 35 | 35 |
| Tamsulosin Hcl | 32 | 18 |
| Amlodipine Besylate | 29 | 16 |
| Apixabanbrand: Eliquis | 25 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-16
- Last updated
- 2019-07-18
Frequently asked questions
- What is Carlos Sanchez's NPI number?
- Carlos Sanchez's National Provider Identifier (NPI) is 1255624896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Sanchez's specialty?
- Carlos Sanchez is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Sanchez located?
- Carlos Sanchez's practice location on file with NPPES is 617 Broad St, Newark, NJ 07102-4403.
- What is Carlos Sanchez's phone number?
- The practice phone number listed in the NPPES registry for Carlos Sanchez is (862) 246-7940.
- Does Carlos Sanchez accept Medicare?
- Carlos Sanchez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Sanchez's NPI active?
- Yes — Carlos Sanchez's NPI (1255624896) is active in the NPPES registry as of the last update on 2019-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.