DR. SEBASTIAN J KSIONSKI MD
NPI 1033120852
Pain Medicine - Pain Medicine in Lynchburg, VA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1330 OAK LN, LYNCHBURG, VA 24503(434) 200-4175 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2020, Feb 19, 2020, Oct 21, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Sebastian J Ksionski Md NPPES

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

DR. SEBASTIAN J KSIONSKI MD (NPI 1033120852) is an individual pain medicine provider in Lynchburg, Virginia, licensed in Virginia (0101268046) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and maintains a secondary practice location in Lynchburg.

NPPES Registry Identity

NPI1033120852
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. SEBASTIAN J KSIONSKICredential: MD
Location Address1330 OAK LNLynchburg, VA 24503
Mailing Address1330 Oak LnLynchburg, VA 24503-2513 · (434) 200-4175 · Fax (434) 200-4321
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 10, 2006
Last NPPES UpdateAugust 3, 20204 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
NPI 1033120852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License Licensed in VA · 0101268046
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 11013088 (IN)
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 0101268046 (VA), 55415 (MN)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 54712 (MN)
1330 OAK LN, Lynchburg, VA 24503

Secondary Practice Location 1

Location 12010 Atherholt Road, Attn Emily MooreLynchburg, VA 24501 · Phone (434) 200-2539

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

Dr. Sebastian J Ksionski 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 ID6608929047
PECOS Enrollment IDI20191220002281
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 14

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.
679 services216 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
38 services23 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
35 services20 patients
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.
33 services33 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
25 services23 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
25 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490090
Location800 Oak StreetFarmville, VA 23901 · Prince Edward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24503 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631
DME-Orthotic Devices · category DF007N
1 supplier24 claims24 services$805.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
1330 OAK LN
LYNCHBURG, VA 24503
Plastic Surgery
1330 OAK LN, SUITE 100
LYNCHBURG, VA 24503
Plastic Surgery
1330 OAK LN, SUITE 100
LYNCHBURG, VA 24503
Radiology (Diagnostic Radiology)
1330 OAK LN
LYNCHBURG, VA 24503
Audiologist
1330 OAK LN, STE 204
LYNCHBURG, VA 24503
Physician Assistant
1330 OAK LN, SUITE 101
LYNCHBURG, VA 24503
Internal Medicine (Hospice and Palliative Medicine)
1330 OAK LN
LYNCHBURG, VA 24503
Plastic Surgery
1330 OAK LN, SUITE 100
LYNCHBURG, VA 24503

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 Sebastian Ksionski's NPI number?

The NPI number for Sebastian Ksionski is 1033120852. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Sebastian Ksionski located?

Sebastian Ksionski practices at 1330 Oak Ln, Lynchburg, VA 24503. The listed phone number is (434) 200-4175.

What is Sebastian Ksionski's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Sebastian Ksionski enrolled in Medicare?

Yes. Sebastian Ksionski 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.

Is Sebastian Ksionski affiliated with any hospitals?

According to CMS data, Sebastian Ksionski is affiliated with Centra Health - Lynchburg Gen Hospital and Centra Southside Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Sebastian Ksionski was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.