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SEBASTIAN T TOSTO JR. MD
NPI 1811925696
Internal Medicine in Dothan, AL

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
1118 ROSS CLARK CIR, DOTHAN, AL 36301(334) 712-3329(334) 678-2893 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2018, Mar 14, 2016 (2 updates tracked since 2016).

About Sebastian T Tosto Jr. Md NPPES

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

SEBASTIAN T TOSTO JR. MD (NPI 1811925696) is an individual internal medicine provider in Dothan, Alabama, licensed in Texas (M4599) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1811925696
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEBASTIAN T TOSTO JR.Credential: MD
Location Address1118 ROSS CLARK CIRDothan, AL 36301
Mailing Address1118 Ross Clark Cir Ste 210Dothan, AL 36301-3023 · (334) 712-3329 · Fax (334) 678-2893
Phone(334) 712-3329
Fax(334) 678-2893
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 29, 2006
Last NPPES UpdateMay 24, 20182 updates tracked since enumeration
✔ NPI 1811925696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M4599
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.
1118 ROSS CLARK CIR, Dothan, AL 36301
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Secondary Practice Location 1

Location 11000 Asylum Ave, Suite 1004Hartford, CT 06105-1770 · Phone (860) 714-4532

Other Identifiers 1

Other8BX226TX · Ut Bcbstx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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 T Tosto Jr. 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 ID9638175904
PECOS Enrollment IDI20180820000852
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

JOSEPH JASON PHILLIPS M.D.
Urology
1118 ROSS CLARK CIR, 500
DOTHAN, AL 36301
Houston County (334) 794-4159
PREMIER CARDIOLOGY CONSULTANTS INC
Internal Medicine (Cardiovascular Disease)
1118 ROSS CLARK CIR, STE 704
DOTHAN, AL 36301
Houston County (334) 699-6396
GUY MALCOLM MIDDLETON M.D.
Obstetrics & Gynecology
1118 ROSS CLARK CIR, SUITE 402
DOTHAN, AL 36301
Houston County (334) 673-3633
MR. JUSTIN CASEY CRNP
Nurse Practitioner
1118 ROSS CLARK CIR, SUITE 303
DOTHAN, AL 36301
Houston County (334) 794-3192
JOHN EVANS JR. NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1118 ROSS CLARK CIR, SUITE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
MR. PHILLIP TYLER STANLEY C.R.N.A.
Nurse Anesthetist, Certified Registered
1118 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111
DR. MATTHEW T JENNINGS DO
Anesthesiology
1118 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-5105
CHARLES MEADOR BEVERLY M.D.
Obstetrics & Gynecology
1118 ROSS CLARK CIR, SUITE 600
DOTHAN, AL 36301
Houston County (334) 793-3900

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 Tosto's NPI number?

The NPI number for Sebastian Tosto is 1811925696. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Sebastian Tosto located?

Sebastian Tosto practices at 1118 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 712-3329.

What is Sebastian Tosto's specialty?

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

Is Sebastian Tosto enrolled in Medicare?

Yes. Sebastian Tosto 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.

What insurance does Sebastian Tosto accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Sebastian Tosto 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 Tosto was last updated on May 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.