MATTHEW SEBENS
NPI 1285833178
Emergency Medicine in Royal Oak, MI
About Matthew Sebens NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW SEBENS (NPI 1285833178) is an individual emergency medicine provider in Royal Oak, Michigan, licensed in Michigan (4301090685) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Sebens is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Matthew Sebens reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- 132 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 103 clinicians in this Medicare group
Reedsburg, WI 53959
- Reassigned Medicare billing, Wisconsin enrollment
- 96 clinicians in this Medicare group
Dodgeville, WI 53533
- Reassigned Medicare billing, Wisconsin enrollment
- 130 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48073 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
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 Matthew Sebens's NPI number?
The NPI number for Matthew Sebens is 1285833178. It was assigned to this individual provider in the NPPES registry on July 12, 2007.
Where is Matthew Sebens located?
Matthew Sebens practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-5000.
What is Matthew Sebens's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Matthew Sebens enrolled in Medicare?
Yes. Matthew Sebens is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Matthew Sebens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Sebens reassigns Medicare benefits to 4 organizations: Prairie Ridge Health, Inc. (Columbus, WI), Madison Emergency Physicians, Sc (Madison, WI), Reedsburg Area Medical Center, Inc. (Reedsburg, WI) and Upland Hills Health, Inc. (Dodgeville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Sebens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Sebens accept?
Health plans from Group Health Cooperative-SCW list Matthew Sebens 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.
When was this NPI record last updated?
The NPPES record for Matthew Sebens was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Matthew Sebens · NPI 1285833178
Emergency Medicine physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since July 12, 2007.
## Identity
- **NPI:** 1285833178 (Entity type: Individual)
- **Enumerated:** July 12, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301090685 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 W 13 MILE RD, Royal Oak, MI 48073-6712
- **Phone:** (248) 898-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Prairie Ridge Health, Inc. (NPI 1841376183, Columbus, WI); Madison Emergency Physicians, Sc (NPI 1588646095, Madison, WI); Reedsburg Area Medical Center, Inc. (NPI 1891796710, Reedsburg, WI); Upland Hills Health, Inc. (NPI 1487745501, Dodgeville, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1285833178) · Data from the CMS NPPES public registry.