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CLAUDIA SEVILLA M.D.
NPI 1689081275
Urology in Chula Vista, CA

Active since July 16, 2014PECOS EnrolledAccepts Medicare Assignment
83.99/100
CMS Quality Rating
750 MEDICAL CENTER CT STE 14, CHULA VISTA, CA 91911(619) 397-4500(858) 429-7931 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2024, Aug 26, 2021, Mar 22, 2021 and 1 more (4 updates tracked since 2019).

About Claudia Sevilla M.d. NPPES

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

CLAUDIA SEVILLA M.D. (NPI 1689081275) is an individual urology provider in Chula Vista, California, licensed in California (A131270) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Geffen School Of Medicine (2012).

NPPES Registry Identity

NPI1689081275
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameCLAUDIA SEVILLACredential: M.D.
Location Address750 MEDICAL CENTER CT STE 14Chula Vista, CA 91911-6634
Mailing AddressPo Box 845996Los Angeles, CA 90084-5996 · (858) 888-7700 · Fax (858) 221-5017
Phone(619) 397-4500
Fax(858) 429-7931
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2012
Enumeration DateJuly 16, 2014
Last NPPES UpdateJanuary 4, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1689081275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A131270
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License A131270 (CA)
750 MEDICAL CENTER CT STE 14, Chula Vista, CA 91911
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Secondary Practice Locations 2

Location 11300 N. State St.Los Angeles, CA 90033 · Phone (323) 226-7335
Location 28881 Fletcher Pkwy Ste 250LA Mesa, CA 91942-3191 · Phone (619) 828-1000 · Fax (619) 241-4530

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

Claudia Sevilla 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 ID6608163357
PECOS Enrollment IDI20191031002028
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
113 services30 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
65 services60 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.
59 services56 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services33 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.
22 services22 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91911 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

83.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.4
Improvement Activities40

Other Providers at the Same Location NPPES

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

JOEL JUAREZ-URIBE M.D.
Internal Medicine (Cardiovascular Disease)
750 MEDICAL CENTER CT STE 14
CHULA VISTA, CA 91911
San Diego County (619) 421-1228

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 Claudia Sevilla's NPI number?

The NPI number for Claudia Sevilla is 1689081275. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Claudia Sevilla located?

Claudia Sevilla practices at 750 Medical Center Ct Ste 14, Chula Vista, CA 91911. The listed phone number is (619) 397-4500.

What is Claudia Sevilla's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Claudia Sevilla enrolled in Medicare?

Yes. Claudia Sevilla 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.

When was this NPI record last updated?

The NPPES record for Claudia Sevilla was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.