Carlos R. Sandoval-Martinez, MD
NPI 1851438782ActiveIndividual· Family Medicine· Shippensburg, PA
Family Medicine (MD) with Phoenix Rehabilitation and Health Services Inc and 2 other groups, practicing in Shippensburg, Pennsylvania. 361 Medicare patients in 2024, $30,261 paid; nearly all of their 713 Part D prescriptions were generic (98%). Lists Upmc Pinnacle Hospitals and 1 other hospital as hospital affiliations.
Overview
| NPI | 1851438782 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 31, 2007 |
| Last updated in NPPES | Aug 20, 2025 |
| Certified by provider | Aug 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD430665 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 361 |
|---|---|
| Services billed | 634 across 41 procedure codes |
| Paid by Medicare | $30,261 |
Part D prescriptions in 2024
| Prescriptions (claims) | 713 · 714 30-day fills |
|---|---|
| Patients | 475 |
| Total drug cost | $7,641 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Phoenix Rehabilitation and Health Services IncCranberry Twp, PA · 2,800 clinicians
- Wellspan Medical GroupEphrata, PA · 2,480 clinicians
- Ucmg LLCUniontown, PA · 288 clinicians
Hospital affiliations
- Upmc Pinnacle HospitalsHarrisburg, PA
- Wellspan Chambersburg HospitalChambersburg, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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