Active NPI 1336158005 Individual Practitioner Male Practitioner

Dr. Stephen J Seffense , MD

Surgery • Fort Smith, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Seffense, MD is a certified Surgery practicing in Fort Smith, AR. With approximately 36 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1990, Dr. Seffense delivers high-quality medical care to the local community at 7001 ROGERS AVE.

Dr. Seffense maintains professional affiliations with Mercy Clinic Fort Smith Communities, Fands Physical Therapy, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of surgical specimen, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7001 Rogers Ave

Fort Smith, AR 729034073

Telephone 4792745100

Fax 4792745179

Associated Practice Facility / Clinic

🏢 Eastside Ob/gyn P.l.l.c. Facility NPI 1396786042

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Smith, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +9.6 yrs vs City Avg

City Avg: 26.4 Yrs

State Avg: 30.3 Yrs

Regional Practice Density

22 Specialists

Practicing in Fort Smith, AR (301 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Seffense (36 Years) 36 Yrs

Fort Smith Specialty Average (26.4 Years) 26.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	491	393	$126.00	$81.07
76098 X-ray of surgical specimen	75	70	$36.00	$13.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	45	$179.00	$115.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$273.00	$150.23
19301 Partial removal of breast	55	55	$1398.00	$577.41
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	46	42	$36.00	$15.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$176.00	$99.71
38900 Lymph node imaging during surgery	24	24	$298.00	$119.91
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	23	23	$930.00	$201.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$77.00	$50.23
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$47.00	$16.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1204.00	$257.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	220	$121.97	$82.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	200	$177.93	$117.47
76098 X-ray of surgical specimen	57	52	$36.00	$13.92
19301 Partial removal of breast	51	50	$1398.00	$581.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$273.00	$146.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$344.00	$197.65
38900 Lymph node imaging during surgery	20	20	$298.00	$123.01
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$930.00	$207.85
36590 Removal of peripheral venous catheter for infusion	15	15	$582.00	$202.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$74.67	$51.41
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$47.00	$16.76
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1216.09	$287.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	378	293	$118.00	$83.24
19301 Partial removal of breast	79	79	$1415.70	$592.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$273.00	$154.75
38900 Lymph node imaging during surgery	47	47	$298.00	$125.30
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	45	45	$950.67	$206.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$344.00	$204.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$177.00	$118.52
36590 Removal of peripheral venous catheter for infusion	21	21	$582.00	$206.91
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$47.00	$17.33
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$1483.00	$288.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$70.00	$51.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	359	263	$118.00	$84.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$273.00	$156.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$176.00	$104.12
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	51	51	$2159.00	$303.12
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	51	51	$47.00	$17.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$177.00	$121.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	27	$115.00	$67.73
19301 Partial removal of breast	39	39	$1357.90	$605.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$317.00	$183.58
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	26	26	$923.65	$224.68
38900 Lymph node imaging during surgery	26	26	$289.96	$126.76
47562 Removal of gallbladder using an endoscope	18	18	$1624.00	$607.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$70.00	$51.66
36590 Removal of peripheral venous catheter for infusion	14	13	$582.00	$209.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$215.00	$119.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	258	209	$118.00	$69.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$176.00	$99.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$273.00	$152.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	33	$115.00	$69.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	33	$70.00	$41.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$317.00	$194.96
19301 Partial removal of breast	34	33	$1344.41	$627.06
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	29	29	$2159.00	$307.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$177.00	$99.77
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	29	29	$47.00	$17.61
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	26	$915.00	$227.89
38900 Lymph node imaging during surgery	25	25	$279.00	$131.41
47562 Removal of gallbladder using an endoscope	22	22	$1624.00	$603.59
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$121.00	$68.38
76998 Ultrasonic guidance during surgery	12	12	$134.00	$59.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$215.00	$131.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$35.00	$21.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	226	190	$118.00	$67.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$176.00	$97.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	56	$70.00	$41.11
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	50	48	$2159.00	$295.72
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	47	47	$47.00	$17.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$273.00	$149.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	27	$77.00	$37.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	28	$115.00	$68.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$317.00	$190.85
19301 Partial removal of breast	33	33	$1345.58	$613.29
38900 Lymph node imaging during surgery	26	26	$287.04	$131.32
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	26	26	$950.19	$221.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$177.00	$100.48
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$121.00	$69.00
47562 Removal of gallbladder using an endoscope	17	17	$1624.00	$567.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$35.00	$20.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$215.00	$129.00
76998 Ultrasonic guidance during surgery	12	12	$134.00	$59.11
36590 Removal of peripheral venous catheter for infusion	12	12	$489.00	$192.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	152	$118.00	$66.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	96	$70.00	$40.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$176.00	$98.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	29	$87.08	$36.25
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	43	42	$47.00	$16.20
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	41	41	$2206.88	$295.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$273.00	$149.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$1659.97	$646.12
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$163.93	$95.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$177.00	$97.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	16	$115.00	$64.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	17	$35.00	$19.60
19301 Partial removal of breast	21	21	$1428.48	$615.29
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$121.00	$69.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$458.95	$191.76
38900 Lymph node imaging during surgery	19	19	$286.32	$131.78
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$1000.74	$217.38
36415 Insertion of needle into vein for collection of blood sample	18	18	$9.00	$2.94
36590 Removal of peripheral venous catheter for infusion	11	11	$489.00	$177.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,950	22	$2.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	187	155	$124.20	$66.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$160.85	$98.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	49	$64.35	$39.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	23	$78.76	$36.93
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$120.13	$68.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$258.73	$143.29
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	36	36	$2305.17	$634.54
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	35	34	$25.00	$21.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$363.31	$190.62
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	30	29	$262.00	$101.69
99201 New patient office or other outpatient visit, typically 10 minutes	30	30	$63.47	$38.47
38900 Lymph node imaging during surgery	26	26	$365.54	$120.57
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	25	25	$939.12	$197.55
19301 Partial removal of breast	23	23	$1415.65	$560.75
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$2667.30	$304.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$162.55	$98.86
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$129.80	$17.10
49505 Repair of groin hernia (5 years or older)	19	19	$1066.63	$465.34
74177 Ct scan of abdomen and pelvis with contrast	19	19	$522.00	$190.13
76705 Limited ultrasound scan of abdomen	11	11	$131.00	$49.12

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AR E-0613

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

127765001 (AR)

Commercial Insurance / Payer ID Rr Medicare

020028031

Hospital & Practice Group Affiliations

Mercy Clinic Fort Smith Communities

7001 Rogers Ave, Fort Smith, AR 729034073

Phone: 4793147490

Fands Physical Therapy, Inc

1414 Hwy 71 N, Alma, AR 729214723

Phone: 4796320321

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Luke Orison

Physician Assistant - Surgical

NPI 1407694722

Haley Dehart , APRN

Nurse Practitioner - Family

NPI 1457016370

Advanced Practice Registered Nurse

Dr. Thomas Kelly , MD

Surgery

NPI 1487673216

Doctor of Medicine (M.D.)

Laura Hofbauer , PA-C

Physician Assistant - Medical

NPI 1821638412

Physician Assistant (Certified)

Dr. Darryl Eckes , MD

Surgery

NPI 1982635991

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 01, 2015

Registered at 7001 ROGERS AVE, FORT SMITH, AR 729034073 (Tel: 4792745100)

📍

Updated Business Mailing Address September 01, 2015

Registered at PO BOX 3528, FORT SMITH, AR 729133528 (Tel: 4792742000)

👤

Provider Name / Credentials Updated September 01, 2015

Recorded as STEPHEN SEFFENSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2015

Surgery (License #E-0613 in AR)

🟢

Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336158005

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 05, 2006

Last Update: September 01, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3528

Fort Smith, AR 729133528

Phone: 4792742000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.