Pedro Sepulveda, M.D.
Specialist · San Antonio, TX
Pedro Sepulveda, M.D. is a specialist with a practice address in San Antonio, Texas, and NPI 1407931108, issued on Oct 25, 2006. Check the license (Texas J6238, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Pedro Sepulveda
- Credential
- M.D.
- Primary taxonomy
- Specialist 174400000X
- License number
- J6238 TX
Self-reported in NPPES; status is on the state search - Practice location
- 910 San Pedro Ave, San Antonio, TX 78212
- Phone
- (210) 222-9575
- Enumerated
- Oct 25, 2006
- Record last updated
- Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (210) 222-9531
- Medicare enrollment
- Enrolled (PECOS I20051201000762); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest specialist records → All 1,716 in Texas → Look up another NPI →
Also registered at 910 San Pedro Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Eduardo Cepeda-Davila, MDPulmonary Disease Physician1639177454
Verify Pedro Sepulveda in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license J6238Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
6.8 times the Medicare Part D claims of the average specialist in 2024
9,339 Medicare Part D claims for 1,222 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D.
Most prescribed
- Albuterol Sulfate Hfa2,186 claims
- Trelegy Ellipta1,403 claims
- Montelukast Sodium854 claims
- Famotidine525 claims
- Prednisone483 claims
- Fluticasone Propionate365 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 25.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,432.36
75 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Pedro Sepulveda among 1,716 specialist records in Texas
Pedro Sepulveda, M.D. is one of 1,716 specialist records with a practice address in Texas. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 17% of them.
- NPI issued2006 · 17% of these records are older, 46% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 18% of these records are
- Graduated1986 · median 1989 among the 310 with a school on file
- Record last updated2007 · 77% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Texas
There are 1,716 specialist records in Texas.
All 1,716 in Texas → Every provider in San Antonio → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Salvador Baylan, MDSan Antonio, TX 782121003898628
- Deven Bhachawat, MDSan Antonio, TX 782121053338731
- Vivian Bucay, M.D.San Antonio, TX 782121821079930
- Leonard Duran, M.D.San Antonio, TX 782121144224809
- Gregory Jackson, M.D.San Antonio, TX 782121184738825
- Philip Onghai, M.D.San Antonio, TX 782121861491284
- Domingo Padilla, Jr, M.D.San Antonio, TX 782121386633535
- Douglas Stafford, LMTSan Antonio, TX 782121952595449
Common questions
What is Pedro Sepulveda, M.D.'s NPI number?
Pedro Sepulveda, M.D.'s National Provider Identifier (NPI) is 1407931108, issued on Oct 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Pedro Sepulveda, M.D. located?
The NPPES record lists a practice address at 910 San Pedro Ave, San Antonio, TX, 78212. Phone: (210) 222-9575. Providers update this record themselves, so call before visiting.
How can I verify Pedro Sepulveda, M.D.'s license?
NPPES lists Texas license number J6238, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
How much does Pedro Sepulveda, M.D. prescribe under Medicare Part D?
In 2024, Pedro Sepulveda, M.D. had 9,339 Medicare Part D claims for 1,222 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is Pedro Sepulveda, M.D.'s MIPS final score?
The 2023 MIPS final score is 25.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.