DR. SEBASTIEN LALONDE MD,CM FRCS(C)
NPI 1861990731
Surgery - Surgery of the Hand in Columbia, MO

Active since January 25, 2018PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
1100 VIRGINIA AVE, COLUMBIA, MO 65212(573) 882-2663(573) 882-1760 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, Jul 18, 2023, Nov 2, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Sebastien Lalonde Md,cm Frcs(c) NPPES

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

DR. SEBASTIEN LALONDE MD,CM FRCS(C) (NPI 1861990731) is an individual surgery of the hand provider in Columbia, Missouri, licensed in Missouri (2017035183) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1861990731
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameDR. SEBASTIEN LALONDECredential: MD,CM FRCS(C)
Location Address1100 VIRGINIA AVEColumbia, MO 65212-0001
Mailing Address1100 Virginia AveColumbia, MO 65201 · (573) 882-2663
Fax(573) 882-1760
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 25, 2018
Last NPPES UpdateApril 14, 20255 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1861990731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License Licensed in MO · 2017035183
Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 2017035183 (MO), 036157163 (IL)
1100 VIRGINIA AVE, Columbia, MO 65212

Secondary Practice Location 1

Location 11301 S Koke Mill RdSpringfield, IL 62711-9252 · Phone (217) 547-9100 · Fax (217) 547-9236

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

Dr. Sebastien Lalonde Md,cm Frcs(c) 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 ID7517228232
PECOS Enrollment IDI20180220003240
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 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
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.
53 services42 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
40 services33 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
34 services27 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
28 services20 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.39
Improvement Activities40
Cost74.72

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf L3762
DME-Orthotic Devices · category DF000N
1 supplier17 claims19 services$61.96 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers56 claims63 services$54.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Podiatrist (Foot & Ankle Surgery)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Nurse Practitioner (Adult Health)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Orthopaedic Surgery
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Orthopaedic Surgery
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Surgery (Surgery of the Hand)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Orthopaedic Surgery (Foot and Ankle Surgery)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Chiropractor
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Nurse Practitioner (Family)
1100 VIRGINIA AVE
COLUMBIA, MO 65212

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 Sebastien Lalonde's NPI number?

The NPI number for Sebastien Lalonde is 1861990731. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Sebastien Lalonde located?

Sebastien Lalonde practices at 1100 Virginia Ave, Columbia, MO 65212. The listed phone number is (573) 882-2663.

What is Sebastien Lalonde's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Sebastien Lalonde enrolled in Medicare?

Yes. Sebastien Lalonde 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 Sebastien Lalonde accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Sebastien Lalonde 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 Sebastien Lalonde affiliated with any hospitals?

According to CMS data, Sebastien Lalonde is affiliated with University Of Missouri Health Care and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Sebastien Lalonde was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.