Active NPI 1366473258 Individual Practitioner Male Practitioner

Dr. Robert Sepulveda , MD

Internal Medicine • Weslaco, TX

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Robert Sepulveda, MD is a registered Internal Medicine practitioner in Weslaco, TX. With approximately 43 years of clinical practice since completing medical education in 1983, Dr. Sepulveda provides healthcare services at the registered practice location at 1206 E 6TH ST.

Dr. Sepulveda is affiliated with Monzer H Yazji Md And Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1206 E 6th St

Weslaco, TX 785966420

Telephone 9564478377

Fax 9569738034

Associated Practice Facility / Clinic

🏢 Melecia Fuentes Md Pa Facility NPI 1396844296

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Weslaco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +25.8 yrs vs City Avg

City Avg: 17.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

35 Specialists

Practicing in Weslaco, TX (9538 Statewide)

Telehealth Adoption Rate

8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sepulveda (43 Years) 43 Yrs

Weslaco Specialty Average (17.2 Years) 17.2 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	261	58	$272.00	$122.33
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	128	50	$33.00	$15.75
99213 Established patient office or other outpatient visit, typically 15 minutes	90	39	$192.00	$86.79
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	12	$88.00	$39.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$276.00	$122.74

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	262	95	$242.11	$119.28
99213 Established patient office or other outpatient visit, typically 15 minutes	185	77	$187.52	$85.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	28	$77.00	$40.07
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	35	12	$88.00	$39.48
99497 Advance care planning, first 30 minutes	32	32	$177.00	$79.35
G0442 Annual alcohol misuse screening, 5 to 15 minutes	27	27	$40.00	$17.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$111.00	$49.97
81003 Automated urinalysis test	13	12	$53.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	73	$100.00	$67.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	66	$137.00	$102.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	52	$75.00	$37.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$300.00	$160.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	551	107	$100.00	$67.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	26	$75.00	$36.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	461	146	$100.00	$56.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	187	84	$75.00	$34.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	53	$137.00	$99.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	13	$195.00	$70.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	16	$231.00	$101.49
99239 Hospital discharge day management, more than 30 minutes	18	17	$280.00	$104.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$459.00	$194.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	929	223	$100.00	$71.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	202	111	$75.00	$43.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	121	39	$233.81	$101.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	42	$459.00	$193.17
99239 Hospital discharge day management, more than 30 minutes	56	39	$280.00	$104.03
90756 Vaccine for influenza for injection into muscle	53	53	$45.00	$25.99
G0008 Administration of influenza virus vaccine	52	52	$30.00	$15.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$300.00	$164.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	11	$195.00	$70.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$331.00	$200.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$137.00	$104.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,261	246	$100.00	$66.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	259	45	$231.00	$95.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	46	$460.61	$185.58
99239 Hospital discharge day management, more than 30 minutes	60	40	$280.00	$98.93
G0008 Administration of influenza virus vaccine	60	60	$30.00	$19.51
90756 Vaccine for influenza for injection into muscle	57	57	$45.00	$22.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$331.00	$189.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,382	283	$100.00	$65.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	296	53	$148.68	$94.67
99292 Critical care, each additional 30 minutes	206	15	$165.00	$101.77
99291 Critical care, first 30-74 minutes	105	15	$364.00	$202.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	49	$314.03	$182.84
99239 Hospital discharge day management, more than 30 minutes	68	48	$148.26	$97.27
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	63	62	$50.00	$17.30
G0008 Administration of influenza virus vaccine	63	62	$30.00	$23.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$262.40	$184.24

Medical Specialties & State Licenses

CMS Verified: 2024-09-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX H3522

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

122509604 (TX)

Hospital & Practice Group Affiliations

Monzer H Yazji Md And Associates Pllc

1206 E 6th St, Weslaco, TX 785966420

Phone: 9564478377

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Melecia Fuentes , MD

Family Medicine

NPI 1083713952

Doctor of Medicine (M.D.)

Dr. Larissa Riojas , DO

Family Medicine

NPI 1104239425

Doctor of Osteopathic Medicine (D.O.)

Michael White , PA-C

Physician Assistant

NPI 1124157540

Physician Assistant (Certified)

David Womble , CNP

Nurse Practitioner - Family

NPI 1225494800

Certified Nurse Practitioner

Joe Uribe , NURSE PRACTIONER

Nurse Practitioner - Family

NPI 1447768858

NURSEPRACTIONER

Karla Adame

Physician Assistant - Medical

NPI 1548852262

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 19, 2024

Registered at 1206 E 6TH ST, WESLACO, TX 785966420 (Tel: 9564478377)

📍

Updated Business Mailing Address September 19, 2024

Registered at 1206 E 6TH ST STE 5, WESLACO, TX 785966420 (Tel: 9564478377)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 901 E 6TH ST, SUITE 5, WESLACO, TX 785964202 (Tel: 9569689517)

📍

Updated Business Mailing Address July 08, 2007

Registered at 901 E 6TH, SUITE 5, WESLACO, TX 785966449 (Tel: 9569689517)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SEPULVEDA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #H3522 in TX)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1366473258

Entity Type:

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

Enumeration Date: July 06, 2006

Last Update: September 19, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1206 E 6th St Ste 5

Weslaco, TX 785966420

Phone: 9564478377

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.