Dr. Sandra R Alexander , MD
General Practice โข Carlsbad, CA
1905 Calle Barcelona
Carlsbad, CA 920098450
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Sandra Alexander is listed in NPPES under General Practice.
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NPI assigned on June 4, 2006; this date does not establish years in practice.
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Published CMS data list 149 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 67 service units.
- G2211 โ 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's: 45 service units.
- 99215 โ Established patient outpatient office visit: 22 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 920 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Rosuvastatin Calcium โ 114 prescription fills, including refills.
- Losartan Potassium โ 105 prescription fills, including refills.
- Levothyroxine Sodium โ 61 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 34 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: 485. Middle half: 154 to 2,019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 27 in 2020 to 149 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1905 Calle Barcelona
Carlsbad, CA 920098450
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Coastal Occupational Medicine And Pain Management Pc; Imc-Central Baldwin Physicians, Llc.; Imc-Eastern Shore Adult Medicine, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1985
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
41 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $14,779 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $9,511 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,199 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$117,826 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $146.62 across 8 records.
By nature of payment
- Food and Beverage: $146.62 across 8 records.
Reporting-company totals (3 largest of 4)
- Novo Nordisk Inc: $54.40 across 3 records.
- Exact Sciences Corporation: $49.91 across 3 records.
- ABBVIE INC.: $23.68 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
41 years (graduated 1985)
CMS Doctors and Clinicians data list 1985 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Alexander has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Alexander as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Carlsbad and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: 485. Middle half: 154 to 2,019.
Too few clinicians listed under General Practice in Carlsbad have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: $45,658. Middle half: $15,010 to $165,277.
Too few clinicians listed under General Practice in Carlsbad have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: $32,130. Middle half: $11,436 to $131,972.
Too few clinicians listed under General Practice in Carlsbad have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under General Practice in California (2024, 610 clinicians with data). Median for this group: 758. Middle half: 125 to 3,707.
Too few clinicians listed under General Practice in Carlsbad have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under General Practice in California (2024, 610 clinicians with data). Median for this group: $48,894. Middle half: $2,044 to $279,308.
Too few clinicians listed under General Practice in Carlsbad have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under General Practice with a practice address in Carlsbad, CA (1,963 in California).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 452% from 27 in 2020 to 149 in 2024.
- 2020: 27
- 2021: 167
- 2022: 145
- 2023: 133
- 2024: 149
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Medicare-allowed amount
Medicare-allowed amount increased 366% from $3,170 in 2020 to $14,779 in 2024.
- 2020: $3,170
- 2021: $19,310
- 2022: $18,087
- 2023: $16,051
- 2024: $14,779
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Paid by Medicare
Paid by Medicare increased 286% from $2,466 in 2020 to $9,511 in 2024.
- 2020: $2,466
- 2021: $13,869
- 2022: $13,552
- 2023: $11,192
- 2024: $9,511
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 10% from 835 in 2020 to 920 in 2024.
- 2020: 835
- 2021: 1,179
- 2022: 1,862
- 2023: 2,038
- 2024: 920
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30-day fills
30-day fills varied from year to year: 2,281 in 2020 and 2,199 in 2024.
- 2020: 2,281
- 2021: 2,892
- 2022: 4,592
- 2023: 4,961
- 2024: 2,199
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Part D drug cost
Part D drug cost increased 334% from $27,130 in 2020 to $117,826 in 2024.
- 2020: $27,130
- 2021: $59,623
- 2022: $137,044
- 2023: $167,661
- 2024: $117,826
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $439.00 in 2021 to $146.62 in 2025.
- 2021: $439.00
- 2022: $332.46
- 2023: $231.92
- 2024: $214.99
- 2025: $146.62
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $146.62.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $23.68 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $22.36 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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The Cologuard Plus Collection Kit | General | $19.54 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $18.63 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $16.46 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $15.58 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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The Cologuard Plus Collection Kit | General | $15.22 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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The Cologuard Plus Collection Kit | General | $15.15 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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67 | 31 | $160.33 | $113.67 |
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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's
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45 | 26 | $20.00 | $15.17 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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22 | 17 | $224.27 | $157.82 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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15 | 15 | $305.00 | $200.59 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 114 | 9,589 | $1,809.18 | 52 |
| Losartan Potassium | Losartan Potassium | 105 | 9,348 | $973.48 | 44 |
| Levothyroxine Sodium | Levothyroxine Sodium | 61 | 4,555 | $746.73 | 21 |
| Amlodipine Besylate | Amlodipine Besylate | 60 | 5,046 | $413.83 | 31 |
| Atorvastatin Calcium | Atorvastatin Calcium | 52 | 4,493 | $599.05 | 27 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 38 | 3,430 | $341.80 | 14 |
| Omeprazole | Omeprazole | 30 | 2,184 | $751.30 | 11 |
| Gabapentin | Gabapentin | 29 | 1,224 | $593.12 | 17 |
| Lisinopril | Lisinopril | 28 | 2,277 | $219.11 | 11 |
| Hydrochlorothiazide | Hydrochlorothiazide | 26 | 2,216 | $79.83 | 12 |
| Baclofen | Baclofen | 25 | 1,095 | $445.41 | โ |
| Mounjaro | Tirzepatide | 25 | 700 | $27,126.00 | โ |
| Metformin Hcl | Metformin Hcl | 22 | 1,794 | $303.49 | 16 |
| Pravastatin Sodium | Pravastatin Sodium | 22 | 1,484 | $414.47 | โ |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 21 | 1,289 | $1,379.91 | 11 |
| Pantoprazole Sodium | Pantoprazole Sodium | 20 | 1,381 | $256.52 | 11 |
| Tradjenta | Linagliptin | 19 | 840 | $14,231.92 | โ |
| Amitriptyline Hcl | Amitriptyline Hcl | 18 | 1,124 | $485.85 | โ |
| Metformin Hcl Er | Metformin Hcl | 17 | 1,530 | $46.87 | โ |
| Carvedilol | Carvedilol | 15 | 735 | $255.20 | โ |
| Escitalopram Oxalate | Escitalopram Oxalate | 15 | 1,050 | $110.33 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 15 | 854 | $425.50 | โ |
| Sertraline Hcl | Sertraline Hcl | 14 | 900 | $127.96 | โ |
| Montelukast Sodium | Montelukast Sodium | 13 | 1,170 | $89.39 | โ |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 13 | 387 | $9,951.56 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-09-28NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20200915003470
CA
6800958281
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Imc-Central Baldwin Physicians, Llc.
18317 Us Hwy 90, Robertsdale, AL 36567
Phone: 2519472000
Coastal Occupational Medicine And Pain Management Pc
915 W Laurel Ave, Foley, AL 365351324
Phone: 2519435440
Imc-Eastern Shore Adult Medicine, Llc
915 W Laurel Ave, Foley, AL 365351324
Phone: 2512869990
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant (Certified)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1905 CALLE BARCELONA, CARLSBAD, CA 920098450 (Tel: 8585541212)
General Practice (license number reported to NPPES: CA C169320)
NPI status registered as active in NPPES database
Registered at 619 E LAUREL AVE, FOLEY, AL 365353301 (Tel: 2519435689)
Registered at 619 E LAUREL AVE, FOLEY, AL 365353301 (Tel: 2519435689)
Recorded as SANDRA ALEXANDER, M.D.
General Practice (license number reported to NPPES: AL 18665)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Carlsbad
Healthcare providers in CarlsbadMailing Address
619 E Laurel Ave
Foley, AL 365353301
Phone: 2519435689