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SERGEI SCHEGOLEV M.D.
NPI 1376683805
Internal Medicine in Walnut Creek, CA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1450 TREAT BLVD, SUITE 160, WALNUT CREEK, CA 94597(925) 296-9000 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sergei Schegolev M.d. NPPES

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

SERGEI SCHEGOLEV M.D. (NPI 1376683805) is an individual internal medicine provider in Walnut Creek, California, licensed in California (A73183) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1376683805
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSERGEI SCHEGOLEVCredential: M.D.
Location Address1450 TREAT BLVD, SUITE 160Walnut Creek, CA 94597-2168
Mailing Address1450 Treat Blvd # 300Walnut Creek, CA 94597-2168 · (925) 952-2828 · Fax (925) 952-2850
Phone(925) 296-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 17, 2020
✔ NPI 1376683805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A73183
Definition
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.
1450 TREAT BLVD, Walnut Creek, CA 94597
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Other Identifiers 2

Medicaid00A731830CA
OtherP01385834CA · Railroad Medicare

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

Sergei Schegolev M.d. 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 ID547495145
PECOS Enrollment IDI20131107001369
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 10

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.
445 services402 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
91 services84 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
65 services59 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.
57 services57 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
44 services43 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.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94597 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Reported Quality Measures

Appropriate Testing for Pharyngitis
100%102 patients5/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
92%909 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
1%234 patients
Breast Cancer Screening
74%679 patients4/55-star benchmark: 93%
Cervical Cancer Screening
48%1,330 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
29%161 patients
Colorectal Cancer Screening
46%1,427 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
69%777 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
18%330 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
49%330 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,532 patients4/55-star benchmark: 100%
e-Prescribing
100%2,149 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
41%782 patients2/55-star benchmark: 100%
HIV Screening
28%2,717 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%2,990 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
20%2,688 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 243 patients
Patients screened: 96% · 243 patients
12%26 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%4,073 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%780 patients3/55-star benchmark: 91%
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.

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.

DR. JASLEEN SOHAL M.D.
Family Medicine
1450 TREAT BLVD, SUITE 120B
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9720
DR. HENNESSEY TSENG M.D.
Internal Medicine (Cardiovascular Disease)
1450 TREAT BLVD, SUITE 220B
WALNUT CREEK, CA 94597
Contra Costa County (925) 937-1770
DR. DEBORAH A GREER M.D.
Family Medicine
1450 TREAT BLVD, SUITE 160
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9000
DR. RUQAYA FATIMA M.D.
Family Medicine
1450 TREAT BLVD, SUITE 160
WALNUT CREEK, CA 94597
Contra Costa County (925) 286-9000
DR. PRITI H PATEL M.D.
Family Medicine
1450 TREAT BLVD, SUITE 120B
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9720
DR. DEVORAH E BEN-ZEEV M.D.
Internal Medicine
1450 TREAT BLVD, SUITE 120A
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9720
DR. KATHLEEN SMITH M.D.
Pediatrics
1450 TREAT BLVD, SUITE 140
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9770
DR. TESSIE A OKAMURA M.D.
Pediatrics
1450 TREAT BLVD, SUITE 140
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9770

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 Sergei Schegolev's NPI number?

The NPI number for Sergei Schegolev is 1376683805. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Sergei Schegolev located?

Sergei Schegolev practices at 1450 Treat Blvd Suite 160, Walnut Creek, CA 94597. The listed phone number is (925) 296-9000.

What is Sergei Schegolev's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sergei Schegolev enrolled in Medicare?

Yes. Sergei Schegolev 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.

When was this NPI record last updated?

The NPPES record for Sergei Schegolev was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.