DR. SHAWN SANDERSON D.O.
NPI 1396002051
Emergency Medicine in Fort Worth, TX
NPI Status: Active since April 19, 2012
Contact Information
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 921-3431
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About SHAWN SANDERSON
This page provides the complete NPI Profile along with additional information for Shawn Sanderson, a provider established in Fort Worth, Texas with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1396002051 assigned on April 2012. The practitioner's primary taxonomy code is 207P00000X with license number Q2946 (TX). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1396002051
- Provider Name
- DR. SHAWN SANDERSON D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 S MAIN ST FORT WORTH, TX 76104
- Location Phone
- (817) 921-3431
- Mailing Address
- 5916 W TONOPAH DR GLENDALE, AZ 85308
- Mailing Phone
- (214) 674-4806
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-19-2012
- Last Update Date
- 07-21-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- Q2946
- License State
- TX
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | BP10044000 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Secure - EPO
- Secure | MercyOne - EPO
- Silver Classic - EPO
- Silver Classic | MercyOne - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | MercyOne - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | MercyOne - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Shawn Sanderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 17 times for 17 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 20 times for 19 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 13 times for 13 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 76104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.2
- Minimum New Patient Price $56.47
- Maximum New Patient Price $171.07
- Average New Patient Copayment $21.8
- Minimum New Patient Copayment $14.11
- Maximum New Patient Copayment $42.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.68
- Minimum Established Patient Price $18.18
- Maximum Established Patient Price $139.68
- Average Established Patient Copayment $24.92
- Minimum Established Patient Copayment $4.54
- Maximum Established Patient Copayment $34.92
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 0 | 0 | 2 | 0 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 0 | 4 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 0 + 4 + 0 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1396002051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649270109 | LIANCUN WU Individual | Anesthesiology | 1500 S MAIN ST JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY FORT WORTH, TX 76104 (817) 927-1417 |
| 1184619082 | JPS PHYSICIAN GROUP INC Organization | General Acute Care Hospital | 1500 S MAIN ST PHYSICIAN SERVICES FORT WORTH, TX 76104 (817) 852-8440 |
| 1457340010 | DR. DANIEL FREDERICK CASEY M.D. Individual | Family Medicine | 1500 S MAIN ST FORT WORTH FORT WORTH, TX 76104 (817) 927-1395 |
| 1174512719 | DR. BARBARA LYNN SLEE M.D. Individual | Family Medicine | 1500 S MAIN ST FAMILY HEALTH CENTER FORT WORTH, TX 76104 (817) 927-1200 |
| 1003805706 | DR. JOANE BAUMER M.D. Individual | Family Medicine | 1500 S MAIN ST FAMILY MEDICINE CENTER FORT WORTH, TX 76104 (817) 335-1034 |
| 1902895386 | DR. SANDRA G MORENO M.D. Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 920-7160 |
| 1316936701 | DR. WILLIAM BART PATE M.D. Individual | Family Medicine | 1500 S MAIN ST DEPT. OF FAMILY MEDICINE FORT WORTH, TX 76104 (817) 927-3593 |
| 1023098662 | LOREN S LASATER MD Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 702-1200 |
| 1164476040 | DR. HUGH NOLE WEST MD Individual | Radiology (Diagnostic Radiology) | 1500 S MAIN ST FORT WORTH, TX 76104 (469) 757-1119 |
| 1619923364 | DR. DONALD G PHILLIPS D.O. Individual | Emergency Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 927-1500 |
| 1699721878 | MS. EDNA JILL ENGLISH N.P. Individual | Nurse Practitioner (Family) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3421 |
| 1760438162 | KATHERINE ADELE FUCHSHUBER NP Individual | Nurse Practitioner | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 927-1200 |
| 1255374534 | PAUL THOMAS MARSH DO Individual | Radiology (Diagnostic Radiology) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 738-6571 |
| 1831134683 | DR. LUZMINDA B CONCEPCION MD Individual | Pediatrics | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1366487472 | GLENN E HAMILTON NP Individual | Nurse Practitioner | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1033146436 | DR. SUZANNE B KELLEY MD Individual | Pediatrics | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1528095924 | DR. RIAZ U KHAN MD Individual | Internal Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1881622405 | DOUGLAS S MILLER MD Individual | Dermatology | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1710918594 | DR. SANGAMESHWAR REDDY MD Individual | Internal Medicine (Gastroenterology) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1417980285 | DR. NEIL F LOVITT MD Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396002051, enumerated in the NPI registry as an "individual" on April 19, 2012
The provider is located at 1500 S Main St Fort Worth, Tx 76104 and the phone number is (817) 921-3431
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $87.2 with an average copayment of $21.8 for new patient appointments. Established patients should expect a typical charge of $99.68 and an average copayment of 24.92. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Emergency department visit for problem of moderate severity.
This NPI record was last updated on April 19, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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