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SEPIDE ENDAYA NEMATIAN MD
NPI 1942864749
Family Medicine in Georgetown, TX

Active since April 26, 2019PECOS EnrolledAccepts Medicare Assignment
7451 W STATE HIGHWAY 29, GEORGETOWN, TX 78628(512) 509-8700 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2022, Aug 30, 2022, Jun 10, 2020 and 1 more (4 updates tracked since 2019).

About Sepide Endaya Nematian Md NPPES

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

SEPIDE ENDAYA NEMATIAN MD (NPI 1942864749) is an individual family medicine provider in Georgetown, Texas, licensed in Texas (T8286) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1942864749
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSEPIDE ENDAYA NEMATIANCredential: MD
Location Address7451 W STATE HIGHWAY 29Georgetown, TX 78628-6849
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Phone(512) 509-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 26, 2019
Last NPPES UpdateSeptember 30, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1942864749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T8286
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7451 W STATE HIGHWAY 29, Georgetown, TX 78628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Sepide Endaya Nematian 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 ID6709113186
PECOS Enrollment IDI20220826000178
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 8

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.
183 services105 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
63 services63 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.
57 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services20 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670128
Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78628 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.

Other Providers at the Same Location NPPES 3

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

ERICA MARINA VARGAS PA-C
Physician Assistant
7451 W STATE HIGHWAY 29
GEORGETOWN, TX 78628
Williamson County (512) 509-8700
DR. JACOBO PENA M.D.
Family Medicine
7451 W STATE HIGHWAY 29
GEORGETOWN, TX 78628
Williamson County (512) 509-8700
SARAH JANE HOLTZMAN APN
Nurse Practitioner (Family)
7451 W STATE HIGHWAY 29
GEORGETOWN, TX 78628
Williamson County (512) 509-9550

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 Sepide Nematian's NPI number?

The NPI number for Sepide Nematian is 1942864749. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Sepide Nematian located?

Sepide Nematian practices at 7451 W State Highway 29, Georgetown, TX 78628. The listed phone number is (512) 509-8700.

What is Sepide Nematian's specialty?

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

Is Sepide Nematian enrolled in Medicare?

Yes. Sepide Nematian 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 Sepide Nematian accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Sepide Nematian 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 Sepide Nematian affiliated with any hospitals?

According to CMS data, Sepide Nematian is affiliated with Baylor Scott & White Medical Center - Temple, Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center - Marble Falls and Baylor Scott & White Medical Center Pflugerville.

When was this NPI record last updated?

The NPPES record for Sepide Nematian was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.