NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1558536789 M.D.
Verify on CMS → Caroline Sanchez, M.D.
Surgery Physician in Fairfax, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,778 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
39
Medicare Part D claims · 21 beneficiaries · Surgery Physician avg: 174
MIPS score
75/100
CMS neutral threshold · no category scores published
What the federal data shows
Caroline Sanchez, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 39 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 39
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Caroline Sanchez, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1558536789), first enumerated 04/29/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 39 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1558536789 · Surgery Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-NEUTRAL · RX-TRACE · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1558536789
- ENUM-MID 2008
- TAX-MID 37K Surgery Physician
- MIPS-NEUTRAL 75/100
- RX-TRACE 39
- BOOK-LIGHT 932 in Virginia
- PHOTO-ENUM Alexander Rusanov, M… · 2008
Caroline Sanchez, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
39 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Caroline Sanchez, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Caroline Sanchez, M.D.?
CMS neutral score, not measuredPrimary specialty
Surgery Physician
Medicare Part D claims
39 78% vs specialty avg
MIPS final score
75/100
Specialty distribution in Virginia
How Surgery Physician compares to other specialties among Virginia providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1558536789 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/29/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Caroline Sanchez, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Fairfax Colon And Rectal Surgery PC
Fairfax, VA
Inova Health Care Services
Fairfax, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
39
Total Claims
$279
Total Drug Cost
21
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 39
- Total Day Supply
- 153
- Generic Drug Cost
- $277
- Antibiotic Claims
- 31
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 1.22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Neomycin Sulfate | 14 |
| Metronidazole | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Caroline Sanchez, M.D. fits within the Surgery Physician landscape nationally.
36,778
Surgery Physician Providers in US
56
States with Surgery Physician
174
Avg Claims per Provider
Caroline Sanchez, M.D.'s 39 claims are below the specialty average of 174.
Nationwide Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sanchez, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgery Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Sanchez.
One of 932 Surgery Physician providers enrolled in Virginia, 5 are shown here.
Dr. Sarah Abduljabbar
MD
Falls Church, VA
Dr. Michelle Abghari
M.D
Leesburg, VA
Dr. Waylan Ables
MD
Springfield, VA
Dr. Michel Aboutanos
M.D.
Richmond, VA
Dr. Anthony Abraham
D.O.
Onancock, VA
Compare Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Caroline Sanchez, M.D.'s specialty? ▼
Caroline Sanchez, M.D. specializes in Surgery Physician and practices in Fairfax, Virginia. Credentials: M.D..
How much does Caroline Sanchez, M.D. prescribe under Medicare Part D? ▼
In 2024, Caroline Sanchez, M.D. wrote 39 Medicare Part D claims totaling $279 in drug costs for 21 beneficiaries.
What is Caroline Sanchez, M.D.'s Medicare quality score? ▼
Caroline Sanchez, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Caroline Sanchez, M.D. located? ▼
Caroline Sanchez, M.D. is located at 2710 PROSPERITY AVE, Fairfax, VA, 22031. Phone: (703) 280-2841.
What is Caroline Sanchez, M.D.'s NPI number? ▼
Caroline Sanchez, M.D.'s National Provider Identifier (NPI) is 1558536789, issued on 04/29/2008.
How many Surgery Physician providers are there in the US? ▼
There are 36,778 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 174 Medicare Part D claims per year.
What drugs does Caroline Sanchez, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Caroline Sanchez, M.D.'s most frequently prescribed drugs include Neomycin Sulfate, Metronidazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Caroline Sanchez, M.D. accept Medicare? ▼
Caroline Sanchez, M.D. appears in CMS Medicare data with 39 Part D claims and 21 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Caroline Sanchez, M.D.'s credentials? ▼
Caroline Sanchez, M.D.'s NPI is 1558536789 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.