DR. JOSE CARLOS SEPULVEDA (DO) – Family Medicine Physician, NPI 1194252106
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for DR. JOSE CARLOS SEPULVEDA (DO)
2100 LAKE SHORE DR
WACO, TX 767081271
Phone: (254) 537-6160
Fax: (254) 755-6695
Type: Mailing
1600, Providence Drive, Waco, McLennan County, Texas, 76707, United States
WACO, TX 767072261
Phone: (254) 313-4200
Fax: (254) 313-4531
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $689.
Total Amount is formed as General ($689) + Research ($0) + Ownership ($0) = $689.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($119).
Total Amount
$689
General + Research + Ownership
Payments
37
Total payment records
General Amount
$689
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $119 |
| ABBVIE INC. | $79 |
| PFIZER INC. | $72 |
| Abbott Laboratories | $55 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $49 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190206001026 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 63 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 42 | 42 | $0 |
| G0008 | Administration of influenza virus vaccine | 29 | 29 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 26 | 26 | $0 |
Insurance plans in this area (ZIP 76708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | TX | |
| U R O L O G Y | TX | |
| Physician Assistant | AZ | |
| Nurse Practitioner | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | TX | |
| General Surgery | TX | |
| Internal Medicine | TX |
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