Polly M Sepulvado

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NPI Number Detailed Information

Provider Information:

Name:	Polly M Sepulvado
Gender:	F
Provider License Number If Given:	MD16468

NPI Information:

NPI:	1366433781
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	11/3/2005
Last Update Date:	10/31/2007
Reputation Report:

Provider Business Mailing Address:

Address:	573 NE STEPHENS ST Roseburg, OR 97470
Phone Number:	5416772432
Fax Number:	5419571131

Provider Business Practice Location Address:

Address:	573 NE STEPHENS ST Roseburg, OR 97470
Phone Number:	5416772432
Fax Number:	5419571131

Provider Taxonomy:

Primary:	207RR0500X
Secondary (if any):
State:	OR

Top Doctors in OR

About Polly M Sepulvado

Polly M Sepulvado ( POLLY M SEPULVADO ) is An Internal Medicine Physician in Roseburg, OR. The NPI Number for Polly M Sepulvado is 1366433781.

The current location address for Polly M Sepulvado is 573 NE STEPHENS ST Roseburg, OR 97470 and the contact number is 5416772432 and fax number is 5419571131. The mailing address for Polly M Sepulvado is 573 NE STEPHENS ST Roseburg, OR 97470- 5416772432 (mailing address contact number - 5416772432).

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider Business Location on Map

FAQs:

What is the NPI Number for Polly M Sepulvado ?

Answer: The NPI Number for Polly M Sepulvado is 1366433781

Where is Polly M Sepulvado located?

Answer: Polly M Sepulvado is located at 573 NE STEPHENS ST Roseburg, OR 97470.

What is the specialty for Polly M Sepulvado ?

Answer: The Specialty of Polly M Sepulvado is An Internal Medicine Physician.

Are there any online reviews for Polly M Sepulvado ?

Answer: Yes! Check It Now.

Are there any other health care providers in Roseburg, OR?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Polly M Sepulvado

Number of HCPCS	8
Number of Medicare Beneficiaries	41
Number of Services	54
Total Submitted Charge Amount	9683.02
Total Medicare Allowed Amount	4401.65
Total Medicare Payment Amount	3383.96
Total Medicare Standardized Payment Amount	3461.16
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	8
Number of Medicare Beneficiaries With Medical	41
Number of Medical Services	54
Total Medical Submitted Charge Amount	9683.02
Total Medical Medicare Allowed Amount	4401.65
Total Medical Medicare Payment Amount	3383.96
Total Medical Medicare Standardized Payment Amount	3461.16
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	16
Number of Beneficiaries Age 75 to 84	14
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	29
Number of Male Beneficiaries	12
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.29
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.49
Percent (%) of Beneficiaries Identified With Hypertension	0.68
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.32
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.3446

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Rheumatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	968
Number of Standardized 30-Day Fills	1432.1
Aggregate Cost Paid for All Claims	765681.03
Number of Day's Supply for All Claims	41205
Number of Medicare Beneficiaries	112
Number of Claims, Including Refills, for Beneficiaries Age 65+	781
Including Refills, for Beneficiaries Age 65+	1214.1333333
Beneficiaries Age 65+	531331.9
Number of Day's Supply for All Claims for Beneficaries Age 65+	34934
Number of Medicare Beneficiaries Age 65+	83
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	139
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	829
Aggregate Cost Paid for Generic Drugs	22158.85
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	638
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	431171.21
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	330
Aggregate Cost Paid for Claims Filled by	334509.82
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	473
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	443182.02
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	495
by Low-Income Subsidy	322499.01
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	0
Aggregate Cost Paid for Antibiotic Drugs	0
Antibiotic Claims	0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	69.991071429
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74	40
Number of Beneficiaries Age 75 to 84	33
Number of Female Beneficiaries	86
Number of Male Beneficiaries	26
Number of Non-Hispanic White	106
Number of Black or African American	0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement	66
Average Hierarchical Condition Category	1.4629851555

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