Caroline Sanchez, M.D.
NPI 1558536789 · Colon & Rectal Surgery Physician · Fairfax, VA
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Caroline Sanchez, M.D. is a Colon & Rectal Surgery Physician provider in Fairfax, VA (NPI 1558536789).
Provider details
- NPI number
- 1558536789
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD038282 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
18 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
450 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) |
|---|---|---|
| Diagnostic Exam of Anus Using an Endoscope46600 | 121 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 81 | $101 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 46 | $142 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 36 | $184 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 33 | $123 |
| Removal of External Hemorrhoids By Rubber Banding46221 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Neomycin Sulfate | 14 | 11 |
| Metronidazole | 11 | — |
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)
- 8081 Innovation Park DrFairfax, VA 22031-4867Phone: (571) 472-4724Fax: (571) 472-1601
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2021-02-02
- Certified
- 2021-02-02
Frequently asked questions
- What is Caroline Sanchez's NPI number?
- Caroline Sanchez's National Provider Identifier (NPI) is 1558536789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Caroline Sanchez's specialty?
- Caroline Sanchez is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Caroline Sanchez located?
- Caroline Sanchez's practice location on file with NPPES is 2710 Prosperity Ave, Fairfax, VA 22031-4357.
- What is Caroline Sanchez's phone number?
- The practice phone number listed in the NPPES registry for Caroline Sanchez is (703) 280-2841.
- Does Caroline Sanchez accept Medicare?
- Caroline Sanchez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Caroline Sanchez's NPI active?
- Yes — Caroline Sanchez's NPI (1558536789) is active in the NPPES registry as of the last update on 2021-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.