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SEBASTIAN JOSE VALLEJO MD
NPI 1699448563
Internal Medicine - Endocrinology, Diabetes & Metabolism in Gainesville, FL

Active since July 27, 2021PECOS Enrolled
1549 GALE LEMERAND DR, GAINESVILLE, FL 32610(352) 273-8655 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2026, Jul 27, 2021 (2 updates tracked since 2021).

About Sebastian Jose Vallejo Md NPPES

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

SEBASTIAN JOSE VALLEJO MD (NPI 1699448563) is an individual endocrinology, diabetes & metabolism provider in Gainesville, Florida, licensed in Florida (ME177368) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699448563
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameSEBASTIAN JOSE VALLEJOCredential: MD
Location Address1549 GALE LEMERAND DRGainesville, FL 32610-3008
Mailing AddressPo Box 100226Gainesville, FL 32610-0226 · (352) 273-8655
Phone(352) 273-8655
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 27, 2021
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1699448563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME177368
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1549 GALE LEMERAND DR, Gainesville, FL 32610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, 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 (PECOS)

Sebastian Jose Vallejo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810453081
PECOS Enrollment IDI20260728003321
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 Vallejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc
0.4 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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.

THY CAM HUYNH OTR/L
Occupational Therapist
1549 GALE LEMERAND DR
GAINESVILLE, FL 32610
Alachua County (352) 265-0496
MWITSE ANSOANUUR
Pharmacist
1549 GALE LEMERAND DR
GAINESVILLE, FL 32610
Alachua County (352) 265-8270
DR. MICHAEL VINCENT MAMONE MD
Internal Medicine
1549 GALE LEMERAND DR
GAINESVILLE, FL 32610
Alachua County (352) 265-0140
KRISTIN JENISE JOHNSON
Nurse Practitioner (Acute Care)
1549 GALE LEMERAND DR
GAINESVILLE, FL 32610
Alachua County (352) 265-0725
CYNTHIA A. SHARADIN M.D.
Urology (Pediatric Urology)
1549 GALE LEMERAND DR
GAINESVILLE, FL 32610
Alachua County (352) 265-8250
MIN-HUA XIE PHARMD
Pharmacist
1549 GALE LEMERAND DR
GAINESVILLE, FL 32610
Alachua County (352) 733-0111
CHANTAL EMMANUELLE GUIDI APRN, MSN, CNM
Nurse Practitioner (Obstetrics & Gynecology)
1549 GALE LEMERAND DR
GAINESVILLE, FL 32610
Alachua County (352) 265-0035
DR. TIMOTHY STEVEN EDMINSTER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1549 GALE LEMERAND DR
GAINESVILLE, FL 32610
Alachua County (352) 273-9400

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 Vallejo's NPI number?

The NPI number for Sebastian Vallejo is 1699448563. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Sebastian Vallejo located?

Sebastian Vallejo practices at 1549 Gale Lemerand Dr, Gainesville, FL 32610. The listed phone number is (352) 273-8655.

What is Sebastian Vallejo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sebastian Vallejo enrolled in Medicare?

Yes. Sebastian Vallejo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sebastian Vallejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Vallejo reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, 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 Vallejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sebastian Vallejo accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Sebastian Vallejo 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 Sebastian Vallejo was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.