MICHAEL E SEKELA M.D.
NPI 1649254137
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lexington, KY

Q: What is Michael Sekela's NPI number?

The NPI number for Michael Sekela is 1649254137. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Michael Sekela's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sekela was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1401 HARRODSBURG RD, SUITE B-275, LEXINGTON, KY 40504(859) 278-2334(859) 278-0159 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Michael E Sekela M.d. NPPES

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

MICHAEL E SEKELA M.D. (NPI 1649254137) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lexington, Kentucky, licensed in Kentucky (24562) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1981).

NPPES Registry Identity

NPI1649254137

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameMICHAEL E SEKELACredential: M.D.

Location Address1401 HARRODSBURG RD, SUITE B-275Lexington, KY 40504-3751

Mailing Address1401 Harrodsburg Rd, Suite B-275Lexington, KY 40504-3751 · (859) 278-2334 · Fax (859) 278-0159

Phone(859) 278-2334

Fax(859) 278-0159

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1981

Enumeration DateNovember 30, 2005

Last NPPES UpdateMay 12, 2008

✔ NPI 1649254137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in KY · 24562

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1401 HARRODSBURG RD, Lexington, KY 40504

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Other Identifiers 4

Medicaid64245624KY

Medicare PIN060037677KY

Medicare UPINC21605

Medicare PIN0028124KY

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

Michael E Sekela 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 ID2062303266

PECOS Enrollment IDI20050909000203

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 6

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.

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.

61 services16 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

26 services26 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

20 services20 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.

14 services14 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.

14 services14 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

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.

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180002

Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County

Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

3 suppliers23 claims23 services$61.41 avg. paid by Medicare

Seat attachment, walker E0156

DME-Other DME · category DE000N

3 suppliers22 claims22 services$17.36 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers23 claims23 services$20.05 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$50.74 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers31 claims31 services$104.62 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.

OLEVA C SCHOEDLBAUER P.A.-C.

Physician Assistant

1401 HARRODSBURG RD, SUITE A-540
LEXINGTON, KY 40504

Fayette County (859) 258-6760

ARMAGHAN YUNIS SOOMRO MD

Internal Medicine (Interventional Cardiology)

1401 HARRODSBURG RD
LEXINGTON, KY 40504

Fayette County (859) 276-4429

JANALYN PROWS M.D.

Radiology (Radiation Oncology)

1401 HARRODSBURG RD, SUITE A-100
LEXINGTON, KY 40504

Fayette County (859) 258-6505

MR. ROBERT GREG MCMORROW MD

Internal Medicine (Nephrology)

1401 HARRODSBURG RD, C 335
LEXINGTON, KY 40504

Fayette County (859) 276-5355

LAURA RARDIN-ECTON PA-C

Physician Assistant

1401 HARRODSBURG RD, SUITE B275
LEXINGTON, KY 40504

Fayette County (859) 278-2334

DR. JUSTIN DALE JOHNSON M.D.

Urology

1401 HARRODSBURG RD, SUITE C-215
LEXINGTON, KY 40504

Fayette County (859) 258-6450

DANILO CORALES

Internal Medicine

1401 HARRODSBURG RD, B 299
LEXINGTON, KY 40504

Fayette County (859) 276-0714

NEIL R FARRIS MD

Internal Medicine

1401 HARRODSBURG RD, SUITE C215
LEXINGTON, KY 40504

Fayette County (859) 278-9413

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 Sekela's NPI number?

The NPI number for Michael Sekela is 1649254137. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Michael Sekela located?

Michael Sekela practices at 1401 Harrodsburg Rd Suite B-275, Lexington, KY 40504. The listed phone number is (859) 278-2334.

What is Michael Sekela's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Michael Sekela enrolled in Medicare?

Yes. Michael Sekela 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.

Is Michael Sekela affiliated with any hospitals?

According to CMS data, Michael Sekela is affiliated with Whitesburg Arh Hospital and University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Michael Sekela was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.