MICHAEL Y SEIBA M.D.
NPI 1750390977
Urology in Edinburg, TX

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
10.46/100
CMS Quality Rating
2717 CORNERSTONE BLVD, EDINBURG, TX 78539(956) 683-7342(956) 683-0957 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Y Seiba M.d. NPPES

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

MICHAEL Y SEIBA M.D. (NPI 1750390977) is an individual urology provider in Edinburg, Texas, licensed in Texas (K8480) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1750390977
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMICHAEL Y SEIBACredential: M.D.
Location Address2717 CORNERSTONE BLVDEdinburg, TX 78539-8464
Mailing AddressPo Box 720657Mcallen, TX 78504-0657 · (956) 683-7342 · Fax (956) 683-0957
Fax(956) 683-0957
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 5, 2006
Last NPPES UpdateJune 10, 2015
NPI 1750390977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · K8480
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.
2717 CORNERSTONE BLVD, Edinburg, TX 78539

Other Identifiers 5

Other8K8787TX · Bc/bs
Medicare UPINF74530TX
Medicare PIN8B3975TX
Medicaid157478202TX
OtherP00081994TX · Railroad Medicare

Accepted 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

Michael Y Seiba 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 ID5294626545
PECOS Enrollment IDI20040324000695
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 18

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
271 services203 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.
158 services128 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.
149 services105 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.
126 services108 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.
84 services84 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
72 services68 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

10.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Other Providers at the Same Location NPPES 5

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

Chiropractor
2717 CORNERSTONE BLVD
EDINBURG, TX 78539
Chiropractor
2717 CORNERSTONE BLVD
EDINBURG, TX 78539
Chiropractor
2717 CORNERSTONE BLVD
EDINBURG, TX 78539
Chiropractor
2717 CORNERSTONE BLVD
EDINBURG, TX 78539
Urology
2717 CORNERSTONE BLVD
EDINBURG, TX 78539

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 Seiba's NPI number?

The NPI number for Michael Seiba is 1750390977. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Michael Seiba located?

Michael Seiba practices at 2717 Cornerstone Blvd, Edinburg, TX 78539. The listed phone number is (956) 683-7342.

What is Michael Seiba's specialty?

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

Is Michael Seiba enrolled in Medicare?

Yes. Michael Seiba 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 Michael Seiba accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Michael Seiba 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 Michael Seiba affiliated with any hospitals?

According to CMS data, Michael Seiba is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Michael Seiba was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.