Sandra Ballehr, PA-C
NPI 1265640551 · Surgical Physician Assistant · Phoenix, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandra Ballehr, PA-C is a Surgical Physician Assistant provider in Phoenix, AZ (NPI 1265640551).
Provider details
- NPI number
- 1265640551
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
209 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 66 | $32 |
| Fusion of Additional Segment of Spine22614 | 47 | $50 |
| Fusion of Spine in Lower Back With Partial Removal of Spine Bone and Disc22633 | 21 | $226 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $75 |
| Placement of Stabilizing Device to Back, 3-6 Spine Bone Segments22842 | 16 | $98 |
| Placement of Stabilizing Device to Back of 1 Spine Bone in Neck22840 | 15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 59 | 24 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 34 | 14 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 18 | 11 |
| Pregabalin | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$124 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 750 N Estrella Pkwy Ste 60Goodyear, AZ 85338-9279Phone: (602) 714-6970
- 13760 N 93rd Ave Ste 203Peoria, AZ 85381-4200Phone: (602) 714-6970Fax: (602) 715-5176
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Sandra Ballehr's NPI number?
- Sandra Ballehr's National Provider Identifier (NPI) is 1265640551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Ballehr's specialty?
- Sandra Ballehr is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sandra Ballehr located?
- Sandra Ballehr's practice location on file with NPPES is 3815 E Bell Rd Ste 2700, Phoenix, AZ 85032-2155.
- What is Sandra Ballehr's phone number?
- The practice phone number listed in the NPPES registry for Sandra Ballehr is (602) 714-6970.
- Does Sandra Ballehr accept Medicare?
- Sandra Ballehr is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sandra Ballehr's NPI active?
- Yes — Sandra Ballehr's NPI (1265640551) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.