DR. JOSE CARLOS SEPULVEDA DO
NPI 1194252106
Family Medicine in Waco, TX
About Dr. Jose Carlos Sepulveda Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSE CARLOS SEPULVEDA DO (NPI 1194252106) is an individual family medicine provider in Waco, Texas, licensed in Texas (R9139) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2017).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jose Carlos Sepulveda Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence
Acute Care Hospitals · Waco, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jose Sepulveda's NPI number?
The NPI number for Jose Sepulveda is 1194252106. It was assigned to this individual provider in the NPPES registry on May 22, 2017.
Where is Jose Sepulveda located?
Jose Sepulveda practices at 2100 Lake Shore Dr, Waco, TX 76708. The listed phone number is (254) 537-6160.
What is Jose Sepulveda's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jose Sepulveda enrolled in Medicare?
Yes. Jose Sepulveda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jose Sepulveda accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jose Sepulveda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jose Sepulveda affiliated with any hospitals?
According to CMS data, Jose Sepulveda is affiliated with Ascension Providence.
When was this NPI record last updated?
The NPPES record for Jose Sepulveda was last updated on November 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
