Sandra Defalco, FNP
NPI 1306390430 · Family Nurse Practitioner · Clover, SC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandra Defalco, FNP is a Family Nurse Practitioner provider in Clover, SC (NPI 1306390430).
Provider details
- NPI number
- 1306390430
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- DEFA-B904U1 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
115 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 57 | $75 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 33 | $92 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 25 | $35 |
Typical Medicare-allowed amounts for these services range $35–$92 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
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 |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 23 | 20 |
| Amoxicillin | 22 | 21 |
| Doxycycline Hyclate | 17 | 17 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 12 | 12 |
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.
Practice location
Mailing address
Additional practice locations (1)
- 14125 Steele Creek RdCharlotte, NC 28273-3968Phone: (704) 504-8199
Registry dates
- Enumerated
- 2016-08-05
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Frequently asked questions
- What is Sandra Defalco's NPI number?
- Sandra Defalco's National Provider Identifier (NPI) is 1306390430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Defalco's specialty?
- Sandra Defalco is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sandra Defalco located?
- Sandra Defalco's practice location on file with NPPES is 4724 Charlotte Hwy, Clover, SC 29710-8095.
- What is Sandra Defalco's phone number?
- The practice phone number listed in the NPPES registry for Sandra Defalco is (866) 389-2727.
- Does Sandra Defalco accept Medicare?
- Sandra Defalco is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sandra Defalco's NPI active?
- Yes — Sandra Defalco's NPI (1306390430) is active in the NPPES registry as of the last update on 2023-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.