✓ Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) (207Q00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

SANDRA S. AUGUSTO, M.D. (NPI #1417342080)

Family Medicine • BARRE, MA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1417342080
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
151 WORCESTER RD, BARRE, MA, 01005-9002
✓ 9-Digit EDI 837 ZIP+4 (01005-9002)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1417342080 (SANDRA S. AUGUSTO, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1417342080)

Medicare Beneficiaries
183
Total Billed Services
318
Distinct CPT/HCPCS Codes
22
Medicare Allowed Total
$20,656.43

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more109
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's39

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Acetaminophen-Codeine
Acetaminophen With Codeine
12<11
Albuterol Sulfate Hfa
Albuterol Sulfate
2513
Amlodipine Besylate
Amlodipine Besylate
6428
Aripiprazole
Aripiprazole
13<11
Atorvastatin Calcium
Atorvastatin Calcium
12442
Buspirone Hcl
Buspirone Hcl
15<11
Clonazepam
Clonazepam
23<11
Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
13<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1417342080 (NPI-1 Individual Practitioner)
Provider / Legal NameSANDRA S. AUGUSTO, M.D.
Plain-English SpecialtyBoard-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
NUCC Code: 207Q00000X (Family Medicine)
Certifying / Licensing BodyAmerican Board of Family Medicine (ABFM)
Practice Location Address151 WORCESTER RD, BARRE, MA, 01005-9002
Practice Telephone / FaxTel: (978) 355-9222
Administrative Mailing AddressPO BOX 415348, BOSTON, MA, 02241-2903
Enumeration & Last SyncEnumerated: 2015-04-01 | CMS Record Updated: 2020-11-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

151 WORCESTER RD, BARRE, MA, 01005-9002

🗺️ Open in Google Maps 🏥 More Providers in BARRE

Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SANDRA S. AUGUSTO, M.D.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
  • Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
  • Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
  • Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
  • Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
Common Therapeutic Classes:
  • Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
  • Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
  • Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
  • Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
390200000X — Student in an Organized Health Care Education/Training Program
Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program
State: N/A | License: Verified | Primary: Secondary
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: MA | License: 277520 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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