RAYMOND FRANCIS SEKULA MD
NPI 1942363445
Neurological Surgery in New York, NY

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
710 W 168TH ST FL 4, NEW YORK, NY 10032(212) 304-7190(212) 305-2026 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, Dec 15, 2021, Apr 6, 2021 (3 updates tracked since 2021).

About Raymond Francis Sekula Md NPPES

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

RAYMOND FRANCIS SEKULA MD (NPI 1942363445) is an individual neurological surgery provider in New York, New York, licensed in New York (314103) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Georgetown University School Of Medicine (2000).

NPPES Registry Identity

NPI1942363445
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameRAYMOND FRANCIS SEKULACredential: MD
Location Address710 W 168TH ST FL 4New York, NY 10032-3726
Mailing Address104 E 2nd St, 4th FloorErie, PA 16507-1532
Fax(212) 305-2026
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2000
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1942363445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in NY · 314103 Licensed in PA · MD422007
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

710 W 168TH ST FL 4, New York, NY 10032

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

Raymond Francis Sekula 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 ID648271171
PECOS Enrollment IDI20211230001039, I20240502000964
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.

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.
77 services77 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.
43 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services27 patients
Computer-assisted creation of growth of face nerve 61790
This procedure involves using computer technology to aid in the growth of facial nerves. Through detailed imaging, the computer can map out the precise area where nerve growth is needed. This helps in the accurate placement of treatment, promoting better nerve growth and recovery.
28 services25 patients
Removal of skull base bone for exploration or release of cranial nerves 61458
This procedure involves the careful removal of a portion of the skull base to access and examine cranial nerves. It's often used to treat conditions affecting these nerves. The process is done under general anesthesia, ensuring you feel no pain.
18 services18 patients
Use of operating microscope 69990
An operating microscope is a device that magnifies small areas, allowing surgeons to see fine details clearly during procedures. It's often used for delicate operations like eye or nerve surgery, improving precision and outcomes.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Acute Care)
710 W 168TH ST FL 4
NEW YORK, NY 10032
Nurse Practitioner (Acute Care)
710 W 168TH ST FL 4
NEW YORK, NY 10032
Nurse Practitioner (Family)
710 W 168TH ST FL 4
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
710 W 168TH ST FL 4
NEW YORK, NY 10032
Neurological Surgery
710 W 168TH ST FL 4
NEW YORK, NY 10032
Neurological Surgery
710 W 168TH ST FL 4, NEUROLOGICAL INSTITUTE, DEPARTMENT OF NEUROSURGERY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
710 W 168TH ST FL 4
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
710 W 168TH ST FL 4
NEW YORK, NY 10032

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 Raymond Sekula's NPI number?

The NPI number for Raymond Sekula is 1942363445. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Raymond Sekula located?

Raymond Sekula practices at 710 W 168th St Fl 4, New York, NY 10032. The listed phone number is (212) 304-7190.

What is Raymond Sekula's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Raymond Sekula enrolled in Medicare?

Yes. Raymond Sekula 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 Raymond Sekula accept?

Health plans from WellSense Health Plan list Raymond Sekula 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 Raymond Sekula affiliated with any hospitals?

According to CMS data, Raymond Sekula is affiliated with Holy Name Medical Center and New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Sekula was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.