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DR. ROGER M SIFUENTES M.D.
NPI 1720209901
Family Medicine in Corpus Christi, TX

Active since May 02, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1024400 · Waiver
75/100
CMS Quality Rating
10838 LEOPARD ST, CORPUS CHRISTI, TX 78410(361) 387-9496(361) 387-8379 Get Directions Write a Review

NPPES record last updated: November 25, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Roger M Sifuentes M.d. NPPES

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

DR. ROGER M SIFUENTES M.D. (NPI 1720209901) is an individual family medicine provider in Corpus Christi, Texas, licensed in Texas (K3645) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 11, 2028, and is a graduate of University Of Texas Medical Branch At Galveston (1996).

NPPES Registry Identity

NPI1720209901
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROGER M SIFUENTESCredential: M.D.
Location Address10838 LEOPARD STCorpus Christi, TX 78410-2607
Mailing Address10838 Leopard StCorpus Christi, TX 78410-2607 · (361) 387-9496 · Fax (361) 387-8379
Phone(361) 387-9496
Fax(361) 387-8379
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1996
Enumeration DateMay 2, 2007
Last NPPES UpdateNovember 25, 2016
✔ NPI 1720209901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K3645
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.
10838 LEOPARD ST, Corpus Christi, TX 78410
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Other Identifiers 1

Medicare UPING55724TX

Accepted Insurance

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

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

Dr. Roger M Sifuentes 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 ID7517943749
PECOS Enrollment IDI20040630000875
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 Reassignment

Medicare enrollment records show Roger Sifuentes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roger M Sifuentes MD PA
3.2 mi
Family Medicine
13701 NORTHWEST BLVD, #A
Corpus Christi, TX 78410
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1861467862 (361) 387-9496

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1024400

Rodger M Sifuentes MD PA · Corpus Christi, TX
Active · expires Apr 11, 2028
CLIA Number45D1024400
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorRoger M. Sifuentes
Laboratory Phone(361) 387-9496
Laboratory LocationRodger M Sifuentes MD PA13701 Northwest Blvd #a, Corpus Christi, TX 78410
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
780 services308 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
112 services44 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
71 services54 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.
23 services23 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.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78410 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers38 claims125 services$6.13 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers12 claims12 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers21 claims36 services$1.20 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
2 suppliers26 claims28 services$17.05 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier12 claims12 services$79.64 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$47.24 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.

ELIANA IRIGOYEN
Nurse Practitioner (Primary Care)
10838 LEOPARD ST
CORPUS CHRISTI, TX 78410
Nueces County (361) 387-9496

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 Roger Sifuentes's NPI number?

The NPI number for Roger Sifuentes is 1720209901. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Roger Sifuentes located?

Roger Sifuentes practices at 10838 Leopard St, Corpus Christi, TX 78410. The listed phone number is (361) 387-9496.

What is Roger Sifuentes's specialty?

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

Is Roger Sifuentes enrolled in Medicare?

Yes. Roger Sifuentes 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 organization bills Medicare for Roger Sifuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Sifuentes reassigns Medicare benefits to Roger M Sifuentes MD PA (Corpus Christi, TX). The 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 Roger Sifuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Roger Sifuentes hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1024400) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roger Sifuentes accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Roger Sifuentes 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 Roger Sifuentes was last updated on November 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.