Sandra Kay Combs
Physician Assistant โข Hazard, KY
101 Town And Country Ln Ste 100
Hazard, KY 417019524
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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NPI assigned on March 4, 2022; this date does not establish years in practice.
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Published CMS data list 233 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:
- 87804 โ Detection test by immunoassay with direct visual observation for influenza virus: 96 service units.
- 87880 โ Detection test by immunoassay with direct visual observation for streptococcus, group a (strep): 72 service units.
- 85025 โ Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count: 20 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 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 835 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:
- Amoxicillin โ 104 prescription fills, including refills.
- Lisinopril โ 48 prescription fills, including refills.
- Fluconazole โ 47 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 38 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Hazard, KY (2024, 11 clinicians with data). Median for this group: 200. Middle half: 154 to 268.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Kentucky (2024, 992 clinicians with data). Median for this group: 223. Middle half: 83 to 696.
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 260 in 2023 to 233 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
101 Town And Country Ln Ste 100
Hazard, KY 417019524
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 1 group name: Primary Care Centers Of Eastern Kentucky 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
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
96 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 $3,425 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 $3,425 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
1,059 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
$25,322 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: $229.82 across 12 records.
By nature of payment
- Food and Beverage: $229.82 across 12 records.
Reporting-company totals (3 largest of 4)
- ABBVIE INC.: $177.37 across 8 records.
- AstraZeneca Pharmaceuticals LP: $19.71 across 1 record.
- Corcept Therapeutics: $16.67 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
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 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
2022
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)
Sandra Combs 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 Sandra Combs 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 Hazard and Kentucky
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Hazard, KY (2024, 11 clinicians with data). Median for this group: 200. Middle half: 154 to 268.
Close to the middle for clinicians listed under Physician Assistant in Kentucky (2024, 992 clinicians with data). Median for this group: 223. Middle half: 83 to 696.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Hazard, KY (2024, 11 clinicians with data). Median for this group: $10,997. Middle half: $4,803 to $16,795.
A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Kentucky (2024, 992 clinicians with data). Median for this group: $16,172. Middle half: $6,884 to $37,808.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant in Hazard, KY (2024, 11 clinicians with data). Median for this group: $7,965. Middle half: $4,770 to $12,420.
A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant in Kentucky (2024, 992 clinicians with data). Median for this group: $11,983. Middle half: $4,960 to $27,981.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Hazard, KY (2024, 12 clinicians with data). Median for this group: 296. Middle half: 86 to 1,443.
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Kentucky (2024, 956 clinicians with data). Median for this group: 265. Middle half: 79 to 1,026.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Hazard, KY (2024, 12 clinicians with data). Median for this group: $1,736. Middle half: $502 to $87,621.
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Kentucky (2024, 956 clinicians with data). Median for this group: $4,696. Middle half: $599 to $143,392.
20 active clinicians are listed under Physician Assistant with a practice address in Hazard, KY (1,958 in Kentucky).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Hazard
0% of these 20 clinicians have the CMS telehealth indicator.
55% of these 20 clinicians are listed by CMS as accepting Medicare assignment.
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 decreased 10% from 260 in 2023 to 233 in 2024.
- 2023: 260
- 2024: 233
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Medicare-allowed amount
Medicare-allowed amount decreased 14% from $3,964 in 2023 to $3,425 in 2024.
- 2023: $3,964
- 2024: $3,425
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Paid by Medicare
Paid by Medicare decreased 11% from $3,863 in 2023 to $3,425 in 2024.
- 2023: $3,863
- 2024: $3,425
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 89% from 441 in 2023 to 835 in 2024.
- 2023: 441
- 2024: 835
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30-day fills
30-day fills increased 98% from 535 in 2023 to 1,059 in 2024.
- 2023: 535
- 2024: 1,059
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Part D drug cost
Part D drug cost increased 584% from $3,700 in 2023 to $25,322 in 2024.
- 2023: $3,700
- 2024: $25,322
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $78.27 in 2023 to $229.82 in 2025.
- 2023: $78.27
- 2024: $34.93
- 2025: $229.82
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): 12 records totaling $229.82.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $28.66 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $27.36 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $26.41 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $25.77 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $25.50 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $21.54 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $19.71 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $17.98 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $16.67 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
|
VOQUEZNA | General | $11.46 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
|
VOQUEZNA | General | $4.61 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $4.15 |
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 2022โ2023 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, 2023โ2024; 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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87804
Detection test by immunoassay with direct visual observation for influenza virus
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96 | 43 | $19.58 | $15.95 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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72 | 65 | $35.00 | $16.02 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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20 | 19 | $35.00 | $7.61 |
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80053
Blood test, comprehensive group of blood chemicals
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19 | 18 | $65.00 | $10.35 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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15 | 11 | $63.00 | $16.46 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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11 | 11 | $75.00 | $13.12 |
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 |
|---|---|---|---|---|---|
| Amoxicillin | Amoxicillin | 104 | 1,031 | $328.16 | 98 |
| Lisinopril | Lisinopril | 48 | 2,220 | $178.12 | 20 |
| Fluconazole | Fluconazole | 47 | 151 | $270.30 | 44 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 34 | 340 | $260.82 | 33 |
| Pantoprazole Sodium | Pantoprazole Sodium | 32 | 1,320 | $205.06 | 13 |
| Prednisone | Prednisone | 30 | 180 | $137.61 | 29 |
| Hydrochlorothiazide | Hydrochlorothiazide | 26 | 1,200 | $52.05 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 25 | 1,410 | $111.06 | 15 |
| Azithromycin | Azithromycin | 25 | 125 | $73.79 | 22 |
| Atorvastatin Calcium | Atorvastatin Calcium | 23 | 1,290 | $136.45 | 16 |
| Ibuprofen | Ibuprofen | 23 | 520 | $99.61 | 13 |
| Levothyroxine Sodium | Levothyroxine Sodium | 23 | 870 | $95.00 | 13 |
| Omeprazole | Omeprazole | 23 | 1,170 | $90.98 | โ |
| Cefdinir | Cefdinir | 23 | 230 | $248.88 | 21 |
| Doxycycline Hyclate | Doxycycline Hyclate | 21 | 210 | $107.29 | 20 |
| Fluticasone Propionate | Fluticasone Propionate | 21 | 990 | $167.46 | 15 |
| Amlodipine Besylate | Amlodipine Besylate | 20 | 990 | $74.68 | 11 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 20 | 720 | $148.08 | 11 |
| Metformin Hcl | Metformin Hcl | 20 | 780 | $60.96 | โ |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 16 | 780 | $29.06 | โ |
| Ondansetron Odt | Ondansetron | 16 | 275 | $203.90 | 15 |
| Tizanidine Hcl | Tizanidine Hcl | 16 | 458 | $212.86 | โ |
| Meloxicam | Meloxicam | 15 | 510 | $37.68 | โ |
| Montelukast Sodium | Montelukast Sodium | 14 | 600 | $45.73 | โ |
| Ventolin Hfa | Albuterol Sulfate | 14 | 317 | $812.70 | 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: 2022-10-04NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20221104002342
KY
7810364775
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
Primary Care Centers Of Eastern Kentucky Llc
47 Hwy 119 S, Whitesburg, KY 418586100
Phone: 6064030001
Primary Care Centers Of Eastern Kentucky Llc
101 Town And Country Ln, Hazard, KY 417019524
Phone: 6064391300
Primary Care Centers Of Eastern Kentucky Llc
10616 S Ky Hwy 15, Scuddy, KY 417609031
Phone: 6064762274
Primary Care Centers Of Eastern Kentucky Llc
425 Hindman Byp, Hindman, KY 418228666
Phone: 6067851300
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Obstetrics & Gynecology
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 101 TOWN AND COUNTRY LN STE 100, HAZARD, KY 417019524 (Tel: 6064391300)
Registered at PO BOX 1988, HAZARD, KY 417021988 (Tel: 6064391300)
NPI status registered as active in NPPES database
Registered at 900 SOUTH LIMESTONE, LEXINGTON, KY 405360001 (Tel: 8593231100)
Registered at 900 SOUTH LIMESTONE, LEXINGTON, KY 405360001 (Tel: 8593231100)
Recorded as SANDRA COMBS
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Hazard
- Crystal Gibson, PA-C
- Jessica Amburgey, PA-C
- Nicholas Noble, PA
- Jaley Caudill, PA-C
- Beverly Neace, PA-C
- Kelly Goins, PA-C
Mailing Address
Po Box 1988
Hazard, KY 417021988
Phone: 6064391300