1. Home
  2. Directory
  3. Florida
  4. Lake Wales
  5. Internal Medicine
  6. NPI Profile

SEBASTIAN GALLEGO MD
NPI 1407424211
Internal Medicine in Lake Wales, FL

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
410 S 11TH ST, LAKE WALES, FL 33853(561) 525-1797 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Jun 16, 2021 (2 updates tracked since 2021).

About Sebastian Gallego Md NPPES

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

SEBASTIAN GALLEGO MD (NPI 1407424211) is an individual internal medicine provider in Lake Wales, Florida, licensed in Florida (ME171700) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Pembroke Pines.

NPPES Registry Identity

NPI1407424211
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEBASTIAN GALLEGOCredential: MD
Location Address410 S 11TH STLake Wales, FL 33853-4203
Mailing Address165 Nw 96th Ter Apt 105Pembroke Pines, FL 33024-6280 · (561) 525-1797
Phone(561) 525-1797
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2021
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1407424211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME171700
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
410 S 11TH ST, Lake Wales, FL 33853
Open in Google Maps ↗

Secondary Practice Location 1

Location 1703 N Flamingo RdPembroke Pines, FL 33028-1006 · Phone (954) 844-4491

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sebastian Gallego 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 ID5193128023
PECOS Enrollment IDI20251027004635
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.

Medicare Billing Reassignment

Medicare enrollment records show Sebastian Gallego reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Wales Physician Services, LLC
0.1 mi
Hospitalist
410 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 96 clinicians in this Medicare group
NPI 1164902797 (863) 676-1433

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33853 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

MR. MATT MORAES AA
Anesthesiologist Assistant
410 S 11TH ST
LAKE WALES, FL 33853
Polk County (863) 679-6814
MR. AARON RENE ALLICK DOUEN M.D.
Internal Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Polk County (863) 676-1433
LAKE WALES MEDIAL CENTER
Anesthesiology
410 S 11TH ST
LAKE WALES, FL 33853
Polk County (407) 667-0444
LAKE WALES HOSPITAL CORPORATION
General Acute Care Hospital
410 S 11TH ST
LAKE WALES, FL 33853
Polk County (863) 676-1433
LAKE WALES EMERGENCY PHYSICIANS, LLC
Emergency Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Polk County (877) 693-5700
ADVENTHEALTH POLK SOUTH INC
Psychiatric Unit
410 S 11TH ST
LAKE WALES, FL 33853
Polk County (863) 676-1433
ADVENTHEALTH POLK SOUTH INC
General Acute Care Hospital
410 S 11TH ST
LAKE WALES, FL 33853
Polk County (863) 676-1433
JACK PYLE
Emergency Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Polk County (863) 676-1433

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 Gallego's NPI number?

The NPI number for Sebastian Gallego is 1407424211. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Sebastian Gallego located?

Sebastian Gallego practices at 410 S 11th St, Lake Wales, FL 33853. The listed phone number is (561) 525-1797.

What is Sebastian Gallego's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sebastian Gallego enrolled in Medicare?

Yes. Sebastian Gallego 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.

Which organization bills Medicare for Sebastian Gallego's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Gallego reassigns Medicare benefits to Lake Wales Physician Services, LLC (Lake Wales, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sebastian Gallego's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sebastian Gallego accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sebastian Gallego 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 Sebastian Gallego affiliated with any hospitals?

According to CMS data, Sebastian Gallego is affiliated with Adventhealth Orlando, Adventhealth Lake Wales and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Sebastian Gallego was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.