Active NPI 1861471260 Individual Practitioner Male Practitioner

Dr. Stephen A Sems , MD

Orthopaedic Surgery • Rochester, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Sems, MD is a certified Orthopaedic Surgery practicing in Rochester, MN. With approximately 27 years of clinical experience since graduating from Ohio State University College Of Medicine in 1999, Dr. Sems delivers high-quality medical care to the local community at 200 1ST ST SW.

Dr. Sems is affiliated with Mayo Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 1st St Sw

Rochester, MN 559050001

Telephone 5072842511

Associated Practice Facility / Clinic

🏢 Mayo Collaborative Services, Inc Facility NPI 1093792350

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Rochester, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +14.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

170 Specialists

Practicing in Rochester, MN (674 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sems (27 Years) 27 Yrs

Rochester Specialty Average (12.8 Years) 12.8 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	56	46	$234.00	$91.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	19	$190.00	$48.41
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$8046.84	$1192.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$333.00	$111.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	60	$184.99	$88.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	24	$184.00	$45.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$323.00	$104.93
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$7853.00	$1147.47
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$7576.00	$1138.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	60	$189.00	$90.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	23	$178.00	$37.54
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$7587.00	$1150.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$323.00	$111.20
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$7453.09	$1153.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	65	$90.78	$91.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	25	$37.39	$37.84
27245 Treatment of broken neck of thigh bone with bone implant	25	25	$1197.30	$1202.15
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	22	22	$1446.36	$1158.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$111.05	$112.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	46	$62.55	$49.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	39	$109.33	$103.13
27245 Treatment of broken neck of thigh bone with bone implant	23	23	$1465.60	$1155.93
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	19	19	$1171.95	$1178.67
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$81.70	$70.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$53.06	$50.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	31	$71.80	$71.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$28.65	$25.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	26	$102.69	$102.55
27245 Treatment of broken neck of thigh bone with bone implant	24	24	$1201.45	$1199.75
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	19	19	$1168.05	$1166.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	36	$160.00	$67.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	39	$79.67	$68.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	36	$44.66	$36.94
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$59.85	$46.93
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$4843.84	$1147.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$25.08	$23.96
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$170.07	$94.74
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$2926.39	$1114.90
99282 Emergency department visit with straightforward medical decision making	11	11	$40.37	$38.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	108	$86.61	$65.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$139.97	$100.07
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$1306.83	$1118.19

Medical Specialties & State Licenses

CMS Verified: 2020-08-20

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 46623

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Mayo Clinic

1216 2nd St Sw, Rochester, MN 559021906

Phone: 5072555123

Mayo Clinic

200 1st St Sw, Rochester, MN 559050001

Phone: 5072842511

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Emily Leasure , MD

Internal Medicine

NPI 1003005836

Doctor of Medicine (M.D.)

Nathanael Bailey

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1003013814

Nicole Nipper , NP

Nurse Practitioner

NPI 1003016940

Nurse Practitioner

Brandi D'souza , NP

Nurse Practitioner

NPI 1003019696

Nurse Practitioner

Dr. Kim Schutterle , MD

Emergency Medicine

NPI 1003027087

Doctor of Medicine (M.D.)

Dr. Jodi Moore-Weiss , OD

Optometrist

NPI 1003036427

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2012

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍

Updated Business Mailing Address May 21, 2012

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

👤

Provider Name / Credentials Updated May 21, 2012

Recorded as STEPHEN SEMS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2012

Orthopaedic Surgery (License #46623 in MN)

🟢

Initial NPI Registration & Enumeration January 13, 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: 1861471260

Entity Type:

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

Enumeration Date: January 13, 2006

Last Update: August 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

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.