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DR. SEFAKO PHALA MD
NPI 1659869139
Family Medicine in Bay City, MI

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment
4040 N EUCLID AVE STE B, BAY CITY, MI 48706(989) 671-9153(989) 671-9253 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2021, Jul 7, 2021, Apr 30, 2018 (3 updates tracked since 2018).

About Dr. Sefako Phala Md NPPES

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

DR. SEFAKO PHALA MD (NPI 1659869139) is an individual family medicine provider in Bay City, Michigan, licensed in Michigan (4301505147) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and maintains a secondary practice location in Wheeling.

NPPES Registry Identity

NPI1659869139
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEFAKO PHALACredential: MD
Location Address4040 N EUCLID AVE STE BBay City, MI 48706-2493
Mailing AddressPo Box 779Tawas City, MI 48764-0779 · (989) 671-9153 · Fax (989) 671-9253
Phone(989) 671-9153
Fax(989) 671-9253
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 30, 2018
Last NPPES UpdateSeptember 7, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1659869139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301505147
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4040 N EUCLID AVE STE B, Bay City, MI 48706
Open in Google Maps ↗

Secondary Practice Location 1

Location 140 Medical Park Ste 401Wheeling, WV 26003-6392 · Phone (304) 243-3880 · Fax (304) 243-3895

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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. Sefako Phala 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 ID5698177897
PECOS Enrollment IDI20210712000231
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 3

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.
177 services84 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.
127 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 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

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48706 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims42 services$1.07 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

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

DR. BRITTANY KIRSTIN PHALA MD
Family Medicine
4040 N EUCLID AVE STE B
BAY CITY, MI 48706
Bay County (989) 671-9153

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 Sefako Phala's NPI number?

The NPI number for Sefako Phala is 1659869139. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Sefako Phala located?

Sefako Phala practices at 4040 N Euclid Ave Ste B, Bay City, MI 48706. The listed phone number is (989) 671-9153.

What is Sefako Phala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sefako Phala enrolled in Medicare?

Yes. Sefako Phala 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 Sefako Phala accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Sefako Phala 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 Sefako Phala affiliated with any hospitals?

According to CMS data, Sefako Phala is affiliated with Ascension St Mary's Hospital and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Sefako Phala was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.