DR. JOSHUA PATRICK SESEK MD
NPI 1912318692
Urology in Pinehurst, NC

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
5 FIRST VILLAGE DR, PINEHURST, NC 28374(910) 295-6831 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joshua Patrick Sesek Md NPPES

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

DR. JOSHUA PATRICK SESEK MD (NPI 1912318692) is an individual urology provider in Pinehurst, North Carolina, licensed in North Carolina (2019-02603) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912318692
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOSHUA PATRICK SESEKCredential: MD
Location Address5 FIRST VILLAGE DRPinehurst, NC 28374-9495
Mailing Address5 First Village DrPinehurst, NC 28374-9495 · (910) 295-6831
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 15, 2014
Last NPPES UpdateJune 8, 2020
NPPES CertifiedJune 8, 2020
NPI 1912318692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NC · 2019-02603
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.
5 FIRST VILLAGE DR, Pinehurst, NC 28374

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Joshua Patrick Sesek Md 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 ID1456688126
PECOS Enrollment IDI20200630002813
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 45

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.

Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
4,550 services12 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.
671 services500 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.
639 services431 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
622 services399 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
391 services300 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.
379 services308 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.57
Promoting Interoperability100
Improvement Activities40
Cost83.28

Referred Medical Equipment & Supplies CMS DME claims 6

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims885 services$0.11 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier39 claims39 services$9.18 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers33 claims3,345 services$1.37 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers29 claims3,642 services$5.61 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers20 claims30 services$9.02 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers37 claims47 services$5.97 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 20

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

Anesthesiology
5 FIRST VILLAGE DR
PINEHURST, NC 28374
Orthopaedic Surgery
5 FIRST VILLAGE DR
PINEHURST, NC 28374
Surgery
5 FIRST VILLAGE DR
PINEHURST, NC 28374
Surgery
5 FIRST VILLAGE DR
PINEHURST, NC 28374
Obstetrics & Gynecology
5 FIRST VILLAGE DR
PINEHURST, NC 28374
Physical Therapist
5 FIRST VILLAGE DR
PINEHURST, NC 28374
Physical Therapy Assistant
5 FIRST VILLAGE DR
PINEHURST, NC 28374
Nurse Practitioner (Family)
5 FIRST VILLAGE DR
PINEHURST, NC 28374

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 Joshua Sesek's NPI number?

The NPI number for Joshua Sesek is 1912318692. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Joshua Sesek located?

Joshua Sesek practices at 5 First Village Dr, Pinehurst, NC 28374. The listed phone number is (910) 295-6831.

What is Joshua Sesek's specialty?

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

Is Joshua Sesek enrolled in Medicare?

Yes. Joshua Sesek 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 Joshua Sesek accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Joshua Sesek 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 Joshua Sesek affiliated with any hospitals?

According to CMS data, Joshua Sesek is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Sesek was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.