DR. RANDY SEMMA DPM
NPI 1386933125
Podiatrist in Commerce Twp, MI

Q: What is Randy Semma's NPI number?

The NPI number for Randy Semma is 1386933125. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Q: What is Randy Semma's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Semma was last updated on August 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2011PECOS EnrolledAccepts Medicare Assignment

80.99/100

CMS Quality Rating

1001 WELCH RD, SUITE 110, COMMERCE TWP, MI 48390(248) 056-0177(248) 694-2102 Get Directions Write a Review

NPPES record last updated: August 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Randy Semma Dpm NPPES

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

DR. RANDY SEMMA DPM (NPI 1386933125) is an individual podiatrist in Commerce Twp, Michigan, licensed in Michigan (5901002563) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (2011).

NPPES Registry Identity

NPI1386933125

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. RANDY SEMMACredential: DPM

Location Address1001 WELCH RD, SUITE 110Commerce Twp, MI 48390-2864

Mailing Address1001 Welch Rd, Suite 110Commerce Twp, MI 48390-2864 · (248) 956-0177 · Fax (248) 694-2102

Phone(248) 056-0177

Fax(248) 694-2102

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2011

Enumeration DateApril 1, 2011

Last NPPES UpdateAugust 1, 2015

✔ NPI 1386933125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in MI · 5901002563

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License PO3617 (FL), 5901002563 (MI)

1001 WELCH RD, Commerce Twp, MI 48390

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Randy Semma Dpm 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 ID1052633724

PECOS Enrollment IDI20150730011696

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 19

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

1,161 services607 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

1,099 services659 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

158 services25 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

154 services154 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.

153 services103 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

72 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

61 services22 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

56 services26 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

47 services41 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

43 services41 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

39 services14 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

34 services30 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

32 services18 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

27 services26 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.

26 services26 patients

Removal of fingernails or toenails, 6 or more nails 11721

19 services17 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

17 services13 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

15 services14 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230077

Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County

Emergency services

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230151

Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48390 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

80.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.25

Promoting Interoperability

100

Improvement Activities

Cost

59.73

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%1,010 patients4/55-star benchmark: 100%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months

97%391 patients4/55-star benchmark: 100%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing

93%389 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%266 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

97%1,494 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

97%482 patients5/55-star benchmark: 95%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

59%46 patients3/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%1,494 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

97%1,494 patients5/55-star benchmark: 79%

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.

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEMMA PODIATRY PC

Podiatrist (Foot & Ankle Surgery)

1001 WELCH RD, SUITE 110
COMMERCE TWP, MI 48390

Oakland County (786) 503-5551

JONOTT ENTERPRISE

Durable Medical Equipment & Medical Supplies

1001 WELCH RD, SUITE 104
COMMERCE TOWNSHIP, MI 48390

Oakland County (248) 669-3200

PREMIER THERAPY CENTERS, INC.

Physical Therapist

1001 WELCH RD, SUITE 104
COMMERCE TOWNSHIP, MI 48390

Oakland County (248) 956-7640

COTTEN CHIROPRACTIC CENTER PLLC

Chiropractor

1001 WELCH RD, SUITE 111
COMMERCE TOWNSHIP, MI 48390

Oakland County (248) 669-8080

DR. MICHELE LYNN BERTELLE-SEMMA D.P.M

Podiatrist

1001 WELCH RD, SUITE #10
COMMERCE TOWNSHIP, MI 48390

Oakland County (786) 514-9493

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 Randy Semma's NPI number?

The NPI number for Randy Semma is 1386933125. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Where is Randy Semma located?

Randy Semma practices at 1001 Welch Rd Suite 110, Commerce Twp, MI 48390. The listed phone number is (248) 056-0177.

What is Randy Semma's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Randy Semma enrolled in Medicare?

Yes. Randy Semma 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 Randy Semma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Randy Semma 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 Randy Semma affiliated with any hospitals?

According to CMS data, Randy Semma is affiliated with Ascension St Mary's Hospital and Beaumont Hospital - Farmington Hills.

When was this NPI record last updated?

The NPPES record for Randy Semma was last updated on August 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.