Sefako Phala, MD
NPI 1659869139 · Family Medicine Physician · Bay City, MI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sefako Phala, MD is a Family Medicine Physician provider in Bay City, MI (NPI 1659869139).
Provider details
- NPI number
- 1659869139
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
330 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 177 | $113 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 127 | $84 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 26 | $122 |
Typical Medicare-allowed amounts for these services range $84–$122 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 119 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 339 | 45 |
| Atorvastatin Calcium | 232 | 71 |
| Gabapentin | 193 | 34 |
| Levothyroxine Sodium | 173 | 41 |
| Amlodipine Besylate | 165 | 47 |
| Omeprazole | 136 | 47 |
Practice location
Mailing address
Additional practice locations (1)
- 40 Medical Park Ste 401Wheeling, WV 26003-6392Phone: (304) 243-3880Fax: (304) 243-3895
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Frequently asked questions
- What is Sefako Phala's NPI number?
- Sefako Phala's National Provider Identifier (NPI) is 1659869139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sefako Phala's specialty?
- Sefako Phala is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sefako Phala located?
- Sefako Phala's practice location on file with NPPES is 4040 N Euclid Ave Ste B, Bay City, MI 48706-2493.
- What is Sefako Phala's phone number?
- The practice phone number listed in the NPPES registry for Sefako Phala is (989) 671-9153.
- Does Sefako Phala accept Medicare?
- Sefako Phala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sefako Phala's NPI active?
- Yes — Sefako Phala's NPI (1659869139) is active in the NPPES registry as of the last update on 2021-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.