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DR. STEPHEN J SEFFENSE MD
NPI 1336158005
Surgery in Fort Smith, AR

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
7001 ROGERS AVE, FORT SMITH, AR 72903(479) 274-5100(479) 274-5179 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stephen J Seffense Md NPPES

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

DR. STEPHEN J SEFFENSE MD (NPI 1336158005) is an individual surgery provider in Fort Smith, Arkansas, licensed in Arkansas (E-0613) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1990).

NPPES Registry Identity

NPI1336158005
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. STEPHEN J SEFFENSECredential: MD
Location Address7001 ROGERS AVEFort Smith, AR 72903-4073
Mailing AddressPo Box 3528Fort Smith, AR 72913-3528 · (479) 274-2000 · Fax (479) 274-2194
Phone(479) 274-5100
Fax(479) 274-5179
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1990
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1336158005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AR · E-0613
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7001 ROGERS AVE, Fort Smith, AR 72903
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Other Identifiers 4

Medicare ID-Type Unspecified5J819AR
Other020028031Rr Medicare
Medicare UPING10771
Medicaid127765001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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. Stephen J Seffense 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 ID7214825785
PECOS Enrollment IDI20101014001492
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 11

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 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.
491 services393 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
75 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
55 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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.

RAYMOND C. GOODMAN JR. M.D.
Surgery
7001 ROGERS AVE, SUITE 200
FORT SMITH, AR 72903
Sebastian County (479) 314-4620
MERCY CLINIC FORT SMITH COMMUNITIES
Clinic/Center (Medical Specialty)
7001 ROGERS AVE, SUITE 401A
FORT SMITH, AR 72903
Sebastian County (479) 314-4650
DR. JAMES MICHAEL WHITENECK M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7001 ROGERS AVE, SUITE 401
FORT SMITH, AR 72903
Sebastian County (479) 314-4650
DR. MERLE E MCCLAIN MD
Pediatrics
7001 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 452-2077
MELISSA RAINWATER M.D.
Obstetrics & Gynecology
7001 ROGERS AVE, SUITE 502
FORT SMITH, AR 72903
Sebastian County (479) 484-5901
DR. STUART DEAN HARAWAY M.D.
Obstetrics & Gynecology
7001 ROGERS AVE, SUITE 400
FORT SMITH, AR 72903
Sebastian County (479) 274-5000
KATHLEEN TOON
Nurse Practitioner
7001 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 314-7490
ETHAN PEARSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
7001 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 314-6000

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 Stephen Seffense's NPI number?

The NPI number for Stephen Seffense is 1336158005. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Stephen Seffense located?

Stephen Seffense practices at 7001 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 274-5100.

What is Stephen Seffense's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephen Seffense enrolled in Medicare?

Yes. Stephen Seffense 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 Stephen Seffense accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Stephen Seffense 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 Stephen Seffense was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.