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MICHAEL DOUGLAS SEFCIK DPM
NPI 1699039297
Podiatrist - Foot & Ankle Surgery in Las Cruces, NM

Active since June 28, 2012PECOS Enrolled
0/100
CMS Quality Rating
1135 N SOLANO DR, LAS CRUCES, NM 88001(575) 526-6103(575) 526-6347 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017, Jul 16, 2017 (3 updates tracked since 2017).

About Michael Douglas Sefcik Dpm NPPES

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

MICHAEL DOUGLAS SEFCIK DPM (NPI 1699039297) is an individual foot & ankle surgery provider in Las Cruces, New Mexico, licensed in New Mexico (372) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699039297
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMICHAEL DOUGLAS SEFCIKCredential: DPM
Location Address1135 N SOLANO DRLas Cruces, NM 88001-2349
Mailing Address1135 N Solano DrLas Cruces, NM 88001-2349 · (575) 526-6103 · Fax (575) 526-6347
Phone(575) 526-6103
Fax(575) 526-6347
Sole ProprietorYes
Enumeration DateJune 28, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1699039297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NM · 372
1135 N SOLANO DR, Las Cruces, NM 88001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Douglas Sefcik Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 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.
788 services301 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
198 services100 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
80 services55 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.
71 services71 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
33 services23 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
18 services16 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier37 claims74 services$56.88 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier37 claims218 services$24.97 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.

M DOUGLAS SEFCIK DPM LLC
Podiatrist (Foot & Ankle Surgery)
1135 N SOLANO DR
LAS CRUCES, NM 88001
Doña Ana County (575) 526-6103

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 Sefcik's NPI number?

The NPI number for Michael Sefcik is 1699039297. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Michael Sefcik located?

Michael Sefcik practices at 1135 N Solano Dr, Las Cruces, NM 88001. The listed phone number is (575) 526-6103.

What is Michael Sefcik's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Michael Sefcik enrolled in Medicare?

Yes. Michael Sefcik is registered in the Medicare PECOS enrollment system.

What insurance does Michael Sefcik accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Sefcik 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.

When was this NPI record last updated?

The NPPES record for Michael Sefcik was last updated on July 21, 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.