Active NPI 1447218409 Individual Practitioner Male Practitioner

Dr. Michael Joseph Sebesta , MD

Urology • El Paso, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sebesta, MD is a certified Urology practicing in El Paso, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Sebesta delivers high-quality medical care to the local community at 2000 TRANS MOUNTAIN RD.

Dr. Sebesta maintains professional affiliations with Kauai Medical Clinic, Princeton Community Hospital Assn. Inc., Bhs Physicians Network, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2000 Trans Mountain Rd

El Paso, TX 79911

Telephone 9152714586

Fax 9152714587

Associated Practice Facility / Clinic

🏢 Mathew & Kurian Physician Services Pllc Facility NPI 1275171514

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in El Paso, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +7.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

25 Specialists

Practicing in El Paso, TX (1027 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sebesta (30 Years) 30 Yrs

El Paso Specialty Average (22.4 Years) 22.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	107	$298.00	$119.59
81003 Automated urinalysis test	169	98	$9.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	137	82	$59.00	$10.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	22	$202.00	$75.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$456.00	$159.87
52000 Diagnostic exam of bladder and urethra using an endoscope	32	31	$583.00	$217.86
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$202.00	$86.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$380.00	$124.64
74420 Imaging of urinary tract	16	11	$49.00	$23.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$299.00	$106.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	153	93	$59.00	$10.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	91	$298.00	$119.68
81003 Automated urinalysis test	125	81	$9.00	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$456.00	$155.94
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$202.00	$83.99
52000 Diagnostic exam of bladder and urethra using an endoscope	38	32	$583.00	$230.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$380.00	$125.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$299.00	$107.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	192	126	$8.28	$2.21
51798 Ultrasound measurement of bladder capacity after voiding	181	117	$55.57	$9.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	93	$281.32	$122.29
99213 Established patient office or other outpatient visit, typically 15 minutes	61	48	$192.70	$83.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$281.46	$103.78
52000 Diagnostic exam of bladder and urethra using an endoscope	38	32	$550.84	$238.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	13	$188.11	$68.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$431.69	$161.14
55700 Biopsy of prostate gland	13	13	$604.69	$123.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$360.27	$129.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	202	118	$8.00	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	171	102	$54.00	$9.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	92	$274.00	$121.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	21	$100.00	$37.20
99213 Established patient office or other outpatient visit, typically 15 minutes	70	43	$186.00	$85.67
52000 Diagnostic exam of bladder and urethra using an endoscope	55	44	$536.00	$223.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$275.00	$106.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$419.00	$158.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$349.00	$131.34
55700 Biopsy of prostate gland	12	11	$589.00	$121.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	148	98	$8.00	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	87	$274.00	$105.17
51798 Ultrasound measurement of bladder capacity after voiding	97	73	$54.00	$9.69
99213 Established patient office or other outpatient visit, typically 15 minutes	51	39	$186.00	$71.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$419.00	$157.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	16	$186.00	$71.19
52000 Diagnostic exam of bladder and urethra using an endoscope	32	29	$536.00	$205.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$349.00	$135.18
76872 Ultrasound scan of pelvic region through rectum	14	12	$87.00	$33.25
55700 Biopsy of prostate gland	13	11	$589.00	$130.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$275.00	$104.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	168	114	$8.00	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	139	76	$186.00	$70.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	79	$274.00	$104.84
51798 Ultrasound measurement of bladder capacity after voiding	98	75	$54.00	$11.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$419.00	$158.00
52000 Diagnostic exam of bladder and urethra using an endoscope	57	53	$536.00	$183.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	14	$100.00	$38.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	20	$186.00	$71.36
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$259.00	$99.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$275.00	$104.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	91	59	$8.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	48	$255.00	$103.87
51798 Ultrasound measurement of bladder capacity after voiding	77	53	$54.00	$14.91
99213 Established patient office or other outpatient visit, typically 15 minutes	61	39	$173.00	$70.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$392.00	$156.87
52000 Diagnostic exam of bladder and urethra using an endoscope	28	28	$536.00	$159.67
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$240.00	$98.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	214	148	$20.00	$4.16
99213 Established patient office or other outpatient visit, typically 15 minutes	168	122	$120.59	$69.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	92	$176.75	$102.76
51798 Ultrasound measurement of bladder capacity after voiding	106	83	$50.43	$17.92
52000 Diagnostic exam of bladder and urethra using an endoscope	53	50	$460.30	$156.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$179.85	$101.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$277.07	$156.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$305.00	$128.12
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$221.13	$98.02
51702 Simple insertion of temporary bladder tube	15	12	$214.67	$58.80
81003 Automated urinalysis test	13	13	$10.77	$3.02

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX P2784

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License VA 0101056794

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

303735001 (TX)

Medicaid State Provider ID

1512958 (TN)

Commercial Insurance / Payer ID 4225024

BCBST (TN)

Hospital & Practice Group Affiliations

Bhs Physicians Network, Inc

2000 Transmountain Rd, El Paso, TX 799113604

Phone: 9152714586

Princeton Community Hospital Assn. Inc.

296 New Hope Rd, Princeton, WV 247402262

Phone: 3044256525

Kauai Medical Clinic

3-3420 Kuhio Hwy, Lihue, HI 967661098

Phone: 8082451500

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Javier Arenas , MD

Urology

NPI 1508083387

Doctor of Medicine (M.D.)

Dr. Eric Koch , MD

Surgery

NPI 1619940020

Doctor of Medicine (M.D.)

Dr. Erick Torres , MD

Orthopaedic Surgery

NPI 1932462678

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location May 16, 2018

Registered at 2000 TRANS MOUNTAIN RD, EL PASO, TX 79911 (Tel: 9152714586)

📍

Updated Business Mailing Address May 16, 2018

Registered at 2000 TRANS MOUNTAIN RD STE 120, EL PASO, TX 799113601 (Tel: 9152714586)

✅

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 29, 2018

Registered at 2000 TRANS MOUNTAIN RD, EL PASO, TX 799113601 (Tel: 9152714586)

📍

Updated Practice Location January 29, 2018

Registered at 3100 N LEE TREVINO DR STE G, EL PASO, TX 799362098 (Tel: 9155927400)

👤

Provider Name / Credentials Updated January 29, 2018

Recorded as MICHAEL SEBESTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Urology (License #0101056794 in VA)

✅

NPI Profile Active January 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2014

Registered at 3100 N LEE TREVINO DR STE G, EL PASO, TX 799362098 (Tel: 9155927400)

📍

Updated Business Mailing Address January 24, 2014

Registered at 7420 REMCON CIR BLDG A, EL PASO, TX 799123508 (Tel: 9155328823)

👤

Provider Name / Credentials Updated January 24, 2014

Recorded as MICHAEL SEBESTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2014

Urology (License #P2784 in TX)

🟢

Initial NPI Registration & Enumeration May 01, 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: 1447218409

Entity Type:

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

Enumeration Date: May 01, 2006

Last Update: May 16, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Trans Mountain Rd Ste 120

El Paso, TX 799113601

Phone: 9152714586

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.