DR. MICHAEL JOSEPH SEBESTA MD
NPI 1447218409
Urology in El Paso, TX

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
2000 TRANS MOUNTAIN RD, EL PASO, TX 79911(915) 271-4586(915) 271-4587 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Joseph Sebesta Md NPPES

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

DR. MICHAEL JOSEPH SEBESTA MD (NPI 1447218409) is an individual urology provider in El Paso, Texas, licensed in Texas (P2784) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1447218409
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MICHAEL JOSEPH SEBESTACredential: MD
Location Address2000 TRANS MOUNTAIN RDEl Paso, TX 79911
Mailing Address2000 Trans Mountain Rd Ste 120El Paso, TX 79911-3601 · (915) 271-4586 · Fax (915) 271-4587
Fax(915) 271-4587
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 1, 2006
Last NPPES UpdateMay 16, 2018
✔ NPI 1447218409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in TX · P2784✔ Licensed in VA · 0101056794
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2000 TRANS MOUNTAIN RD, El Paso, TX 79911

Other Identifiers 3

Medicaid1512958TN
OtherBCBSTTN · 4225024
Medicaid303735001TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Joseph Sebesta 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 ID9032268222
PECOS Enrollment IDI20120620000371, I20260120002298, I20260318000504
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Sebesta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
7420 REMCON CIR, BLDG A
El Paso, TX 79912
  • Reassigned Medicare billing, Texas enrollment
  • 45 clinicians in this Medicare group
Family Medicine
502 MADISON OAK DR STE 310
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 964 clinicians in this Medicare group
General Acute Care Hospital
122 12TH STREET EXT
Princeton, WV 24740
  • Reassigned Medicare billing, West Virginia enrollment
  • 280 clinicians in this Medicare group
Multi-Specialty
3-3420 KUHIO HWY, SUITE B
Lihue, HI 96766
  • Reassigned Medicare billing, Hawaii enrollment
  • 298 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 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 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.
208 services107 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
169 services98 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
137 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services22 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.
36 services36 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
32 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number670120
Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79911 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 7

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

Nurse Anesthetist, Certified Registered
2000 TRANS MOUNTAIN RD
EL PASO, TX 79911
Nurse Practitioner (Adult Health)
2000 TRANS MOUNTAIN RD
EL PASO, TX 79911
Anesthesiology
2000 TRANS MOUNTAIN RD
EL PASO, TX 79911
Registered Nurse (Emergency)
2000 TRANS MOUNTAIN RD
EL PASO, TX 79911
Anesthesiology
2000 TRANS MOUNTAIN RD
EL PASO, TX 79911
Hospitalist
2000 TRANS MOUNTAIN RD
EL PASO, TX 79911
Urology
2000 TRANS MOUNTAIN RD
EL PASO, TX 79911

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 Michael Sebesta's NPI number?

The NPI number for Michael Sebesta is 1447218409. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Michael Sebesta located?

Michael Sebesta practices at 2000 Trans Mountain Rd, El Paso, TX 79911. The listed phone number is (915) 271-4586.

What is Michael Sebesta's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Sebesta enrolled in Medicare?

Yes. Michael Sebesta 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.

Which organizations bill Medicare for Michael Sebesta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sebesta reassigns Medicare benefits to 4 organizations: Rio Grande Urology PA (El Paso, TX), Bhs Physicians Network, Inc (San Antonio, TX), Princeton Community Hospital Assn., Inc. (Princeton, WV) and Kauai Medical Clinic (Lihue, HI). 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 Michael Sebesta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Sebesta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Michael Sebesta 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 Michael Sebesta affiliated with any hospitals?

According to CMS data, Michael Sebesta is affiliated with Wilcox Memorial Hospital, Princeton Community Hospital and The Hospitals Of Providence Transmountain Campus.

When was this NPI record last updated?

The NPPES record for Michael Sebesta was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.