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MARK T SELECKY M.D.
NPI 1669414850
Orthopaedic Surgery - Sports Medicine in Chula Vista, CA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
955 LANE AVE, SUITE 200, CHULA VISTA, CA 91914(619) 421-3400(619) 421-3557 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 7, 2022, Dec 28, 2016 (2 updates tracked since 2016).

About Mark T Selecky M.d. NPPES

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

MARK T SELECKY M.D. (NPI 1669414850) is an individual sports medicine provider in Chula Vista, California, licensed in California (G78136) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1992).

NPPES Registry Identity

NPI1669414850
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameMARK T SELECKYCredential: M.D.
Location Address955 LANE AVE, SUITE 200Chula Vista, CA 91914-3501
Mailing Address955 Lane Ave, Suite 200Chula Vista, CA 91914-3501 · (619) 421-3400 · Fax (619) 421-3557
Phone(619) 421-3400
Fax(619) 421-3557
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1992
Enumeration DateJune 12, 2006
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1669414850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · G78136
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
955 LANE AVE, Chula Vista, CA 91914
Open in Google Maps ↗

Other Identifiers 1

Medicaid00G781360CA

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

Mark T Selecky 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 ID8527063064
PECOS Enrollment IDI20080331000396
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

2

Medicare enrollment records show Mark Selecky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Synergy Orthopedic Specialists, Inc.
13 mi
Specialist
9095 RIO SAN DIEGO DR STE 450
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 85 clinicians in this Medicare group
NPI 1114282779 (858) 412-6080
Emergency And Acute Care Medical Corporation
15 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400

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 7

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.
113 services54 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
47 services16 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.
38 services30 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.
32 services32 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
31 services25 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
22 services20 patients

Other Providers at the Same Location NPPES 14

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

JOSEPH EDWARD BAILEY PT
Physical Therapist
955 LANE AVE, #201
CHULA VISTA, CA 91914
San Diego County (619) 421-9521
DR. ERIC PAUL HOFMEISTER MD
Orthopaedic Surgery (Hand Surgery)
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-3400
LENIHAN SELECKY ORTHOPAEDICS
Specialist
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-3400
MANUAL ORTHOPEDIC PHYSICAL THERAPY INC
Physical Therapist
955 LANE AVE, 201
CHULA VISTA, CA 91914
San Diego County (619) 421-9521
REIKO TAKAHASHI P.T.
Physical Therapist
955 LANE AVE, 201
CHULA VISTA, CA 91914
San Diego County (619) 421-9521
OTAY LAKES SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
955 LANE AVE, SUITE 100
CHULA VISTA, CA 91914
San Diego County (619) 754-2260
MEGAN BARNARD O.T.R.
Occupational Therapist (Hand)
955 LANE AVE, #201
CHULA VISTA, CA 91914
San Diego County (619) 421-9521
ANTHONY G. SANZONE MD, INC
Surgery
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-4200

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 Mark Selecky's NPI number?

The NPI number for Mark Selecky is 1669414850. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Mark Selecky located?

Mark Selecky practices at 955 Lane Ave Suite 200, Chula Vista, CA 91914. The listed phone number is (619) 421-3400.

What is Mark Selecky's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mark Selecky enrolled in Medicare?

Yes. Mark Selecky 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 Mark Selecky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Selecky reassigns Medicare benefits to 2 organizations: Synergy Orthopedic Specialists, Inc. (San Diego, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). 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 Mark Selecky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Selecky was last updated on June 7, 2022. 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.