MATTHEW JOHN SEBASTIAN DO
NPI 1093007916
Family Medicine in Farmington Hills, MI
About Matthew John Sebastian Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW JOHN SEBASTIAN DO (NPI 1093007916) is an individual family medicine provider in Farmington Hills, Michigan, licensed in Michigan (5101019118) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Farmington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Matthew John Sebastian Do 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MICorewell Health Wayne Hospital
Acute Care Hospitals · Wayne, MIBeaumont Hospital - Farmington Hills
Acute Care Hospitals · Farmington Hills, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Sebastian's NPI number?
The NPI number for Matthew Sebastian is 1093007916. It was assigned to this individual provider in the NPPES registry on May 11, 2011.
Where is Matthew Sebastian located?
Matthew Sebastian practices at 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336. The listed phone number is (947) 521-7150.
What is Matthew Sebastian's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matthew Sebastian enrolled in Medicare?
Yes. Matthew 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 Matthew Sebastian accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Matthew 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 Matthew Sebastian affiliated with any hospitals?
According to CMS data, Matthew Sebastian is affiliated with Beaumont Hospital Royal Oak, Corewell Health Wayne Hospital and Beaumont Hospital - Farmington Hills.
When was this NPI record last updated?
The NPPES record for Matthew Sebastian was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
