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FRANCISCO JAVIER SESATTY JR. M.D.
NPI 1932543105
Physical Medicine & Rehabilitation in Edinburg, TX

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2821 MICHAELANGELO DR STE 201, EDINBURG, TX 78539(956) 362-6075(956) 362-6079 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 14, 2023, Feb 8, 2023, Jun 28, 2017 and 1 more (4 updates tracked since 2016).

About Francisco Javier Sesatty Jr. M.d. NPPES

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

FRANCISCO JAVIER SESATTY JR. M.D. (NPI 1932543105) is an individual physical medicine & rehabilitation provider in Edinburg, Texas, licensed in Texas (R2735) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1932543105
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameFRANCISCO JAVIER SESATTY JR.Credential: M.D.
Location Address2821 MICHAELANGELO DR STE 201Edinburg, TX 78539-1406
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-6075 · Fax (956) 362-6079
Phone(956) 362-6075
Fax(956) 362-6079
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateJanuary 20, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2025
✔ NPI 1932543105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in TX · R2735
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
2821 MICHAELANGELO DR STE 201, Edinburg, TX 78539
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Secondary Practice Location 1

Location 14647 Medical DrSan Antonio, TX 78229-4403 · Phone (210) 644-7902 · Fax (210) 644-7937

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First.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

Francisco Javier Sesatty Jr. 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 ID5799080677
PECOS Enrollment IDI20170719001969
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 Reassignments

3

Medicare enrollment records show Francisco Sesatty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renaissance Medical Foundation
0.1 mi
Internal Medicine
5501 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 219 clinicians in this Medicare group
NPI 1467633867 (956) 362-3300
Uthscsa Dental School
225 mi
Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At San Antonio
  • 2,397 clinicians in this Medicare group
NPI 1750403887 (210) 567-3274
Pam Physician Enterprise
1,419 mi
Physical Medicine & Rehabilitation
4671 38TH ST S
Fargo, ND 58104
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group
NPI 1962856161 (701) 540-9544

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,435 services378 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
977 services330 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
369 services339 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services20 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

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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%202 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers42 claims42 services$41.12 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
4 suppliers34 claims34 services$46.70 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
5 suppliers48 claims48 services$41.05 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
5 suppliers36 claims36 services$15.75 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
6 suppliers19 claims19 services$44.96 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers47 claims94 services$24.24 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.

DR. MARIAM WASHINGTON DO
Physical Medicine & Rehabilitation
2821 MICHAELANGELO DR STE 201
EDINBURG, TX 78539
Hidalgo County (956) 362-6075

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 Francisco Sesatty's NPI number?

The NPI number for Francisco Sesatty is 1932543105. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Francisco Sesatty located?

Francisco Sesatty practices at 2821 Michaelangelo Dr Ste 201, Edinburg, TX 78539. The listed phone number is (956) 362-6075.

What is Francisco Sesatty's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Francisco Sesatty enrolled in Medicare?

Yes. Francisco Sesatty 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 organizations bill Medicare for Francisco Sesatty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francisco Sesatty reassigns Medicare benefits to 3 organizations: Renaissance Medical Foundation (Edinburg, TX), Uthscsa Dental School (San Antonio, TX) and Pam Physician Enterprise (Fargo, ND). Each 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 Francisco Sesatty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Francisco Sesatty accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas and Community First list Francisco Sesatty 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 Francisco Sesatty affiliated with any hospitals?

According to CMS data, Francisco Sesatty is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Francisco Sesatty was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.