Karina Sanchez, M.D.
Surgery Physician · Johnstown, PA
Karina Sanchez, M.D. is a surgery physician with a practice address in Johnstown, Pennsylvania, and NPI 1922458801, issued on Jun 21, 2016. Check the license (Pennsylvania MT211623, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Karina Sanchez
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- MT211623 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1086 Franklin St, Johnstown, PA 15905
- Phone
- (814) 534-1660
- Enumerated
- Jun 21, 2016
- Record last updated
- Sep 26, 2023
- Fax
- (814) 534-1680
- Medicare enrollment
- Enrolled (PECOS I20200622002158); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,867 in Pennsylvania → Look up another NPI →
Also registered at 1086 Franklin St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Karina Sanchez in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MT211623Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
54% fewer Medicare Part D claims than the average surgery physician in 2024
68 Medicare Part D claims for 53 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 85.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $35.33
2 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Southern California Permanente Medical GroupBaldwin Park, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karina Sanchez among 1,867 surgery physician records in Pennsylvania
Karina Sanchez, M.D. is one of 1,867 surgery physician records with a practice address in Pennsylvania. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 68% of them.
- NPI issued2016 · 68% of these records are older, 29% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2015 · median 2007 among the 932 with a school on file
- Record last updated2023 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
47 surgery physician records list a practice address in Johnstown
They are 47 of the 1,724 NPPES records with a practice address in Johnstown, and 1,867 surgery physician records in Pennsylvania.
All 1,867 in Pennsylvania → Every provider in Johnstown → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- William Carney, M.D.Johnstown, PA 159051396776282
- Flavia Davit, M.D.Johnstown, PA 159051043332885
- Rajsekhar Devineni, MDJohnstown, PA 159051588659254
- Bruce Duke, M.D.Johnstown, PA 159051851322077
- D'Arcy Duke, M.D.Johnstown, PA 159051720019680
- Gerard Garguilo, MDJohnstown, PA 159051003810599
- Kathryn Giroux, M.D.Johnstown, PA 159051942460084
- Eric Karu, MDJohnstown, PA 159051093975138
Common questions
What is Karina Sanchez, M.D.'s NPI number?
Karina Sanchez, M.D.'s National Provider Identifier (NPI) is 1922458801, issued on Jun 21, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Karina Sanchez, M.D. located?
The NPPES record lists a practice address at 1086 Franklin St, Johnstown, PA, 15905. Phone: (814) 534-1660. Providers update this record themselves, so call before visiting.
How can I verify Karina Sanchez, M.D.'s license?
NPPES lists Pennsylvania license number MT211623, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karina Sanchez, M.D. prescribe under Medicare Part D?
In 2024, Karina Sanchez, M.D. had 68 Medicare Part D claims for 53 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Karina Sanchez, M.D.'s MIPS final score?
The 2023 MIPS final score is 85.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.