DR. RAFAEL JOSE SEPULVEDA-ACOSTA MD
NPI 1558611459
Internal Medicine - Sleep Medicine in Sonoma, CA

Q: What is Rafael Sepulveda-acosta's NPI number?

The NPI number for Rafael Sepulveda-acosta is 1558611459. It was assigned to this individual provider in the NPPES registry on September 18, 2012. The provider is also known as Dr. Rafael Jose Sepulveda MD.

Q: What is Rafael Sepulveda-acosta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Active since September 18, 2012PECOS EnrolledAccepts Medicare Assignment

369 PERKINS ST, SONOMA, CA 95476(707) 776-6154 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2022, Jul 21, 2022, Jun 29, 2021 and 3 more (6 updates tracked since 2017).

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About Dr. Rafael Jose Sepulveda-acosta Md NPPES

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

DR. RAFAEL JOSE SEPULVEDA-ACOSTA MD (NPI 1558611459) is an individual sleep medicine provider in Sonoma, California, licensed in California (A150301) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sonoma, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1558611459

Entity TypeIndividualMale

Primary Taxonomy207RS0012X

Provider Legal NameDR. RAFAEL JOSE SEPULVEDA-ACOSTACredential: MD

Location Address369 PERKINS STSonoma, CA 95476-6826

Mailing Address369 Perkins StSonoma, CA 95476-6826 · (707) 776-6154 · Fax (707) 800-0076

Phone(707) 776-6154

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 18, 2012

Last NPPES UpdateNovember 30, 20226 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1558611459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in CA · A150301

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal MedicineTaxonomy 207R00000X · License A150301 (CA)

Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License A150301 (CA)

369 PERKINS ST, Sonoma, CA 95476

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Other Names 1

Other Name (5)Dr. Rafael Jose Sepulveda Md

Secondary Practice Location 1

Location 1369 Perkins StSonoma, CA 95476-6826 · Phone (707) 776-6154 · Fax (707) 800-0076

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. Rafael Jose Sepulveda-acosta 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 ID941574941

PECOS Enrollment IDI20170914000982

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 9

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.

344 services182 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

339 services170 patients

Therapy procedure using a positive pressure ventilator 94660

A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.

185 services133 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

182 services182 patients

Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation G0398

A home sleep study test with a type II portable monitor is a non-invasive procedure done at home to monitor your sleep. It records data like brain waves, eye movements, muscle activity, heart rate, breathing, and oxygen levels. This helps identify sleep disorders.

130 services123 patients

Whole body composition tissue and fluid measurements with interpretation and report 0358T

This procedure measures different components of your body, including muscle, fat, and fluids. It helps to understand your body's overall health and nutritional status. The results are interpreted and compiled into a report for your understanding.

39 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95476 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

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

Reported Quality Measures

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…

100%259 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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604