MIKE SEBASTIAN MD
NPI 1043269624
Family Medicine in Evansville, IN

Q: What is Mike Sebastian's NPI number?

The NPI number for Mike Sebastian is 1043269624. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Mike Sebastian's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mike Sebastian was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment

99.15/100

CMS Quality Rating

3801 BELLEMEADE AVE, SUITE 200-B, EVANSVILLE, IN 47714(812) 485-3737(812) 485-1704 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mike Sebastian Md NPPES

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

MIKE SEBASTIAN MD (NPI 1043269624) is an individual family medicine provider in Evansville, Indiana, licensed in Indiana (01061161A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1043269624

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMIKE SEBASTIANCredential: MD

Location Address3801 BELLEMEADE AVE, SUITE 200-BEvansville, IN 47714-0100

Mailing AddressPo Box 13059Belfast, ME 04915-4021 · (812) 485-1220

Phone(812) 485-3737

Fax(812) 485-1704

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 9, 2006

Last NPPES UpdateMarch 30, 2015

✔ NPI 1043269624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01061161A

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.

3801 BELLEMEADE AVE, Evansville, IN 47714

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Other Identifiers 2

Medicare UPINI51723

Medicaid200819620IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mike Sebastian 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 ID3870503345

PECOS Enrollment IDI20060427000534, I20170501002384

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 12

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.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

545 services131 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

330 services282 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

252 services80 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

205 services205 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

186 services69 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

161 services79 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.

152 services117 patients

Injection of chemical agent into single incompetent vein 36470

This procedure involves injecting a chemical agent into a vein that isn't functioning properly. The chemical causes the vein to collapse and reroute blood to healthier veins. It's a common treatment for conditions like varicose veins.

74 services51 patients

Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465

This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.

36 services27 patients

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.

30 services29 patients

Other procedure on blood vessel 37799

"Other procedures on blood vessels" refers to various medical interventions aimed at restoring or improving blood flow through the body's vessels. This can involve repair, removal, or rerouting of vessels, often to treat conditions like blockages or aneurysms. These procedures can be minimally invasive or require surgery.

23 services22 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.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

99.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%56 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

99%82 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%82 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

59%82 patients4/55-star benchmark: 79%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC

Family Medicine

3801 BELLEMEADE AVE, SUITE 200-B
EVANSVILLE, IN 47714

Vanderburgh County (812) 485-3737

ST MARY'S MEDICAL CENTER OF EVANSVILLE, INC

Podiatrist

3801 BELLEMEADE AVE, STE 110
EVANSVILLE, IN 47714

Vanderburgh County (812) 485-8390

PHYSICIANS' HEALTH GROUP, LLC

Internal Medicine (Geriatric Medicine)

3801 BELLEMEADE AVE, SUITE 200-E
EVANSVILLE, IN 47714

Vanderburgh County (812) 485-1780

PHYSICIANS' HEALTH GROUP, LLC

Family Medicine

3801 BELLEMEADE AVE, SUITE 200-B
EVANSVILLE, IN 47714

Vanderburgh County (812) 485-3737

DR. DONALD V ELSHOFF MD

Internal Medicine

3801 BELLEMEADE AVE, SUITE 200C
EVANSVILLE, IN 47714

Vanderburgh County (812) 485-1799

MAUREEN PONS KUHRT M.D.

Surgery

3801 BELLEMEADE AVE, STE 110
EVANSVILLE, IN 47714

Vanderburgh County (812) 485-7330

SARAH ELIZABETH ICE

Nurse Practitioner (Family)

3801 BELLEMEADE AVE, SUITE 200E
EVANSVILLE, IN 47714

Vanderburgh County (812) 485-1720

ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC

Internal Medicine

3801 BELLEMEADE AVE, SUITE 200-A
EVANSVILLE, IN 47714

Vanderburgh County (812) 485-1796

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 Mike Sebastian's NPI number?

The NPI number for Mike Sebastian is 1043269624. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Mike Sebastian located?

Mike Sebastian practices at 3801 Bellemeade Ave Suite 200-B, Evansville, IN 47714. The listed phone number is (812) 485-3737.

What is Mike Sebastian's specialty?

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

Is Mike Sebastian enrolled in Medicare?

Yes. Mike Sebastian 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 Mike Sebastian accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mike Sebastian 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 Mike Sebastian affiliated with any hospitals?

According to CMS data, Mike Sebastian is affiliated with Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Mike Sebastian was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.