LALI HS SEKHON MD PHD
NPI 1639160500
Neurological Surgery in Reno, NV

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
91.59/100
CMS Quality Rating
555 N ARLINGTON AVE, RENO, NV 89503(775) 786-3040(775) 657-9881 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 8, 2023, Dec 22, 2021, Feb 23, 2021 and 2 more (5 updates tracked since 2016).

About Lali Hs Sekhon Md Phd NPPES

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

LALI HS SEKHON MD PHD (NPI 1639160500) is an individual neurological surgery provider in Reno, Nevada, licensed in Nevada (11378) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1639160500
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameLALI HS SEKHONCredential: MD PHD
Location Address555 N ARLINGTON AVEReno, NV 89503-4723
Mailing Address555 N Arlington AveReno, NV 89503-4723 · (775) 786-3040 · Fax (775) 786-1887
Fax(775) 657-9881
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 31, 2005
Last NPPES UpdateJune 8, 20235 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1639160500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NV · 11378
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 11378 (NV)
555 N ARLINGTON AVE, Reno, NV 89503

Other Identifiers 2

Medicaid100507295NV
Other11652710Caqh

Accepted 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

Lali Hs Sekhon Md Phd 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 ID4486683604
PECOS Enrollment IDI20050809000039
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.

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.
260 services197 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.
141 services126 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
127 services125 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.
95 services95 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.
81 services81 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
63 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe County
Emergency services Birthing friendly

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290032
Location2375 E Prater WaySparks, NV 89434 · Washoe County
Emergency services

Incline Village Community Hospital

Critical Access Hospitals · Incline Village, NV
OwnershipGovernment - Hospital District or Authority
CMS Certification Number291301
Location880 Alder StreetIncline Village, NV 89451 · Washoe County
Emergency services

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number291306
Location1107 Highway 395Gardnerville, NV 89410 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89503 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

91.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.05
Promoting Interoperability96.88
Improvement Activities40

Reported Quality Measures

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.
97%420 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%349 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%272 patients5/55-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.
85%274 patients4/55-star benchmark: 97%
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…
24%272 patients2/55-star benchmark: 97%
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…
86%22 patients4/55-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…
6%536 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
42%536 patients
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 2

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers16 claims16 services$58.34 avg. paid by Medicare
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier19 claims19 services$3,751.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
555 N ARLINGTON AVE
RENO, NV 89503
Physical Therapist
555 N ARLINGTON AVE
RENO, NV 89503
Physician Assistant
555 N ARLINGTON AVE
RENO, NV 89503
Orthopaedic Surgery (Sports Medicine)
555 N ARLINGTON AVE
RENO, NV 89503
Nurse Practitioner (Acute Care)
555 N ARLINGTON AVE
RENO, NV 89503
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
555 N ARLINGTON AVE
RENO, NV 89503
Orthopaedic Surgery
555 N ARLINGTON AVE
RENO, NV 89503
Physician Assistant
555 N ARLINGTON AVE
RENO, NV 89503

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 Lali Sekhon's NPI number?

The NPI number for Lali Sekhon is 1639160500. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Lali Sekhon located?

Lali Sekhon practices at 555 N Arlington Ave, Reno, NV 89503. The listed phone number is (775) 786-3040.

What is Lali Sekhon's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Lali Sekhon enrolled in Medicare?

Yes. Lali Sekhon 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 Lali Sekhon accept?

Health plans from Ambetter from Arizona Complete Health list Lali Sekhon 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 Lali Sekhon affiliated with any hospitals?

According to CMS data, Lali Sekhon is affiliated with Renown Regional Medical Center, Northern Nevada Medical Center, Incline Village Community Hospital and Carson Valley Health.

When was this NPI record last updated?

The NPPES record for Lali Sekhon was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.