MR. GREGORY JOHN SEPANSKI MD
NPI 1295748614
Ophthalmology in Auburn, AL

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
94.19/100
CMS Quality Rating
860 N DEAN RD, AUBURN, AL 36830(334) 826-8246(334) 826-8746 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gregory John Sepanski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY JOHN SEPANSKI MD (NPI 1295748614) is an individual ophthalmology provider in Auburn, Alabama, licensed in Alabama (21550) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1990).

NPPES Registry Identity

NPI1295748614
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. GREGORY JOHN SEPANSKICredential: MD
Location Address860 N DEAN RDAuburn, AL 36830-9401
Mailing Address860 N Dean RdAuburn, AL 36830-9401 · (334) 826-8246 · Fax (334) 826-8746
Fax(334) 826-8746
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1990
Enumeration DateAugust 15, 2006
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
NPI 1295748614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AL · 21550
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
860 N DEAN RD, Auburn, AL 36830

Other Identifiers 12

OtherP00386215Medicare Railroad
MedicaidSE000098798AL
Other051540150AL · Medicare
Other51540150AL · Blue Cross
MedicaidSE000098797AL
Other051098797AL · Blue Cross Of Alabama
Other051098798AL · Blue Cross Of Alabama
Other0810221United Healthcare
Medicaid529932350AL
Medicaid009942236AL
OtherDF6980Medicare Railroad
Other208366414AL · Cigna Healthcare

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

Mr. Gregory John Sepanski Md 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.

PECOS PAC ID1951407998
PECOS Enrollment IDI20070508000199
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
816 services813 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
295 services278 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
232 services140 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
220 services217 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
210 services124 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
208 services159 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36830 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.95
Improvement Activities40
Cost82.04

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
2%543 patients
Diabetes: Eye Exam
100%886 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
97%6,013 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%3,059 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
86%646 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,190 patients
Patients totalRate: 0% · 3,190 patients
0%3,190 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Gregory Sepanski's NPI number?

The NPI number for Gregory Sepanski is 1295748614. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Gregory Sepanski located?

Gregory Sepanski practices at 860 N Dean Rd, Auburn, AL 36830. The listed phone number is (334) 826-8246.

What is Gregory Sepanski's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gregory Sepanski enrolled in Medicare?

Yes. Gregory Sepanski 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 Gregory Sepanski accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Gregory Sepanski 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 Gregory Sepanski was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.