Dr. Stephen Sepulveda, MD
11937 Us Highway 271, Tyler, TX 75708 • +1-686-555-6777
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Tyler Percentiles
NPI #1356601611 • CBSA Regional • Family Practice
Anchored in Tyler, TX 75708, Dr. Stephen Sepulveda, MD (NPI 1356601611) logged 704 annual procedures (focused low-volume boutique caseload (13.51th Tyler percentile), 6.66th TX percentile, -0.38σ) with sub-specialty concentration in 44 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Sepulveda (averaging 4.1 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 38% of tracked volume (269 encounters), paired with 99213 (198x).
At 11937 Us Highway 271 (75708), Dr. Stephen Sepulveda, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.63/5 bedside rating).
Clinical background for Dr. Sepulveda (MD, NPI #1356601611) includes accredited doctoral training (2004, 22 yrs in practice) and dedicated on-site consultations at 11937 Us Highway 271.
Compared against Tyler, TX Family Practice peers
704 annual services across 170 beneficiaries
Standard deviations from TX Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 269 | 13.51th | $135 – $185 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 198 | 16.51th | $103 – $141 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 77 | 17.51th | $155 – $212 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 58 | 13.51th | $29 – $44 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 38 | 12th | $185 – $254 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (44 HCPCS billing breadth) | 64 | 13.51th | $122 – $177 |
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Dr. Stephen Sepulveda, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sepulveda National Provider Identifier | NPI #1356601611 (MD) | CMS NPPES Registry (75708) |
| Dr. Sepulveda Tyler CMS Volume Rank | 13.51th Pct (704 CMS svcs; Z -0.377σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tyler, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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