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JOEL L SEBASTIEN MD
NPI 1639166739
Surgery in Daytona Beach, FL

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
201 NORTH CLYDE MORRIS BLVD., SUITE 100, DAYTONA BEACH, FL 32114(386) 238-3295(386) 328-3273 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joel L Sebastien Md NPPES

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

JOEL L SEBASTIEN MD (NPI 1639166739) is an individual surgery provider in Daytona Beach, Florida, licensed in Florida (ME89364) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (1998).

NPPES Registry Identity

NPI1639166739
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOEL L SEBASTIENCredential: MD
Location Address201 NORTH CLYDE MORRIS BLVD., SUITE 100Daytona Beach, FL 32114-2724
Mailing AddressPo Box 9671Daytona Beach, FL 32120-9671 · (386) 676-7130 · Fax (386) 676-7125
Phone(386) 238-3295
Fax(386) 328-3273
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1998
Enumeration DateOctober 4, 2005
Last NPPES UpdateMarch 4, 2016
✔ NPI 1639166739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME89364
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License ME89364 (FL)
201 NORTH CLYDE MORRIS BLVD., Daytona Beach, FL 32114
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Other Identifiers 7

Other43297FL · Bcbs
Medicaid269716500FL
Medicare PIN43297WFL
Other1639166739FL · Vhn
Other1639166739FL · Multiplan
OtherP00908241FL · Railroad
Other1639166739FL · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.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

Joel L Sebastien 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 ID6406834993
PECOS Enrollment IDI20040712000225
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 Reassignments

4

Medicare enrollment records show Joel Sebastien reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Coast Bariatrics, Inc.
Same address
Surgery
201 N CLYDE MORRIS BLVD, SUITE 100 A
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1932428372 (386) 676-7130
Halifax Healthcare Systems Inc
Same address
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000
Florida Health Care Plan, Inc
2.3 mi
Preferred Provider Organization
2450 MASON AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1558302042 (386) 615-4021
Florida Clinical Practice Association Inc
83 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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 Joel Sebastien's NPI number?

The NPI number for Joel Sebastien is 1639166739. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Joel Sebastien located?

Joel Sebastien practices at 201 North Clyde Morris Blvd. Suite 100, Daytona Beach, FL 32114. The listed phone number is (386) 238-3295.

What is Joel Sebastien's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joel Sebastien enrolled in Medicare?

Yes. Joel Sebastien 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 organizations bill Medicare for Joel Sebastien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Sebastien reassigns Medicare benefits to 4 organizations: East Coast Bariatrics, Inc. (Daytona Beach, FL), Halifax Healthcare Systems Inc (Daytona Beach, FL), Florida Health Care Plan, Inc (Daytona Beach, FL) and Florida Clinical Practice Association Inc (Gainesville, FL). Each 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 Joel Sebastien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Sebastien accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Joel Sebastien 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 Joel Sebastien affiliated with any hospitals?

According to CMS data, Joel Sebastien is affiliated with Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Joel Sebastien was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.