Doctor profile · Federal record
Dr. Stephen Sepulveda, MD
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Tyler, TX
- NPI 1356601611
- Accepts Medicare
- MIPS 93.3 / 100 · 2023
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11937 US Highway 271
Tyler, TX 757083154
(903) 877-7200
fax (903) 877-5080 - Mailing address
-
Po Box 731912
Dallas, TX 753731912
Credentials & registration
- NPI registered
- May 2012 — 14 yrs on file
- Profile last updated
- May 7, 2015
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Texas #Q2850 · Texas #BP1-0044181
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356601611. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
761
Distinct HCPCS
10
Medicare allowed
$64,047
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 202 | 117 | $123 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 183 | 119 | $86 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 139 | 21 | $60 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $124 | |
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 48 | 15 | $45 | |
36415 |
Insertion of needle into vein for collection of blood sample | 47 | 45 | $8 | |
96372 |
Injection of drug or substance under skin or into muscle | 19 | 13 | $14 | |
81002 |
Urinalysis, manual test | 15 | 12 | $3 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $160 | |
G0008 |
Administration of influenza virus vaccine | 14 | 14 | $30 |
In context: peer comparison
Among 41 peers in Tyler Family Medicine Physician, average services per provider: 110. This provider delivers 6.9× the peer median.Open Payments
Industry payments received
All-time total
$257
Transactions
10
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pfizer INC. | 2 | $111.38 | |
| Otsuka America Pharmaceutical, INC. | 2 | $40.93 | |
| Exact Sciences Corporation | 2 | $35.70 | |
| Teva Pharmaceuticals USA, INC. | 1 | $23.27 | |
| Bayer Healthcare Pharmaceuticals INC. | 1 | $19.51 | |
| Lilly USA, LLC | 1 | $13.30 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $13.11 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,148
Patients
729
Total drug cost
$36,217
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Losartan Potassium | Generic | 280 | 80 | $4,706 |
| Amlodipine Besylate | Generic | 238 | 90 | $2,298 |
| Levothyroxine Sodium | Generic | 194 | 65 | $3,494 |
| Atorvastatin Calcium | Generic | 168 | 63 | $2,625 |
| Pantoprazole Sodium | Generic | 160 | 52 | $2,261 |
| Gabapentin | Generic | 153 | 58 | $5,128 |
| Lisinopril | Generic | 144 | 48 | $1,463 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 125 | 34 | $3,722 |
| Metformin Hcl | Generic | 113 | 40 | $1,467 |
| Tamsulosin Hcl | Generic | 112 | 37 | $2,251 |
Frequently asked questions
What is Dr. Stephen Sepulveda's medical specialty?
Dr. Stephen Sepulveda practices Family Medicine Physician in Tyler, TX.
Where does Dr. Stephen Sepulveda practice?
Dr. Stephen Sepulveda practices at 11937 US Highway 271, Tyler, TX 757083154. Office phone: 9038777200.
What is Dr. Stephen Sepulveda's NPI?
Dr. Stephen Sepulveda's National Provider Identifier (NPI) is 1356601611, issued by NPPES.
Does Dr. Stephen Sepulveda accept Medicare assignment?
Yes. Dr. Stephen Sepulveda accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stephen Sepulveda commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Chronic care management services (HCPCS 99490). Source: CMS Medicare Physician & Other Practitioners file.