SEBASTIAN ANDRES WERNER MD
NPI 1972123909
Pediatrics in Raleigh, NC
About Sebastian Andres Werner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEBASTIAN ANDRES WERNER MD (NPI 1972123909) is an individual pediatrics provider in Raleigh, North Carolina, licensed in North Carolina (2024-00178) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Sebastian Andres Werner 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 Sebastian Werner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27610
- Reassigned Medicare billing, North Carolina enrollment
- 997 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wakemed, Raleigh Campus
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Werner's NPI number?
The NPI number for Sebastian Werner is 1972123909. It was assigned to this individual provider in the NPPES registry on April 20, 2020.
Where is Sebastian Werner located?
Sebastian Werner practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8000.
What is Sebastian Werner's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Sebastian Werner enrolled in Medicare?
Yes. Sebastian Werner 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 Sebastian Werner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Werner reassigns Medicare benefits to Wakemed Specialists Group, LLC (Raleigh, NC). 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 Werner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sebastian Werner accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Sebastian Werner 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 Sebastian Werner affiliated with any hospitals?
According to CMS data, Sebastian Werner is affiliated with Wakemed, Raleigh Campus.
When was this NPI record last updated?
The NPPES record for Sebastian Werner was last updated on November 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sebastian Andres Werner, MD · NPI 1972123909
Pediatrics physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since April 20, 2020.
## Identity
- **NPI:** 1972123909 (Entity type: Individual)
- **Enumerated:** April 20, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2024-00178 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3000 NEW BERN AVE, Raleigh, NC 27610-1231
- **Phone:** (919) 350-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wakemed Specialists Group, LLC (NPI 1063077436, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** November 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972123909) · Data from the CMS NPPES public registry.