SEBASTIAN CIRCO MD
NPI 1710275359
Internal Medicine - Critical Care Medicine in Augusta, GA

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1350 WALTON WAY, AUGUSTA, GA 30901(706) 774-7261(706) 774-7230 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sebastian Circo Md NPPES

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

SEBASTIAN CIRCO MD (NPI 1710275359) is an individual critical care medicine provider in Augusta, Georgia, licensed in Georgia (073685) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1710275359
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameSEBASTIAN CIRCOCredential: MD
Location Address1350 WALTON WAYAugusta, GA 30901-2612
Mailing Address1350 Walton WayAugusta, GA 30901-2612 · (706) 774-5795
Fax(706) 774-7230
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 18, 2011
Last NPPES UpdateJanuary 6, 2020
NPI 1710275359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in GA · 073685
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1350 WALTON WAY, Augusta, GA 30901

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

Sebastian Circo 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 ID7315113073
PECOS Enrollment IDI20151027003205
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
195 services95 patients
Follow-up hospital inpatient care per day, typically 35 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.
188 services104 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services42 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
25 services15 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
23 services19 patients
Follow-up hospital inpatient care per day, typically 25 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.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

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

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.

Nurse Practitioner (Adult Health)
1350 WALTON WAY
AUGUSTA, GA 30901
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Emergency Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Pediatrics (Neonatal-Perinatal Medicine)
1350 WALTON WAY, NEWBORN SERVICES
AUGUSTA, GA 30901
Nurse Practitioner (Neonatal, Critical Care)
1350 WALTON WAY, PEDIATRIX MEDICAL GROUP
AUGUSTA, GA 30901
Pediatrics (Neonatal-Perinatal Medicine)
1350 WALTON WAY, NICU UNIVERSITY HOSPITAL
AUGUSTA, GA 30901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710275359, enumerated as an "individual" on July 18, 2011.

The provider is located at 1350 WALTON WAY AUGUSTA, GA 30901 and the phone number is (706) 774-7261.

Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.

Sebastian Circo is affiliated with: PIEDMONT AUGUSTA HOSPITAL.