SHELDON SEBASTIAN MD
NPI 1679612683
Dermatology - MOHS-Micrographic Surgery in Lees Summit, MO
About Sheldon Sebastian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELDON SEBASTIAN MD (NPI 1679612683) is an individual mohs-micrographic surgery provider in Lees Summit, Missouri, licensed in Missouri (2009007065) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Sheldon 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.
Medicare Billing Reassignment
Medicare enrollment records show Sheldon Sebastian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lees Summit, MO 64064
- Reassigned Medicare billing, Missouri and Kansas enrollments
- Also billed through NPI 1205880846 (Kansas)
- 39 clinicians in this Medicare group
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 37
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64064 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
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEES SUMMIT, MO 64064
LEES SUMMIT, MO 64064
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 Sheldon Sebastian's NPI number?
The NPI number for Sheldon Sebastian is 1679612683. It was assigned to this individual provider in the NPPES registry on February 6, 2007.
Where is Sheldon Sebastian located?
Sheldon Sebastian practices at 3265 NE Ralph Powell Rd, Lees Summit, MO 64064. The listed phone number is (816) 524-4747.
What is Sheldon Sebastian's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Sheldon Sebastian enrolled in Medicare?
Yes. Sheldon 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.
Which organization bills Medicare for Sheldon Sebastian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheldon Sebastian reassigns Medicare benefits to Dermatology And Skin Cancer Specialists, LLC. (Lees Summit, MO). 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 Sheldon Sebastian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheldon Sebastian accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Sheldon 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.
When was this NPI record last updated?
The NPPES record for Sheldon Sebastian was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.