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SEBASTIAN ALEXANDER FRANCO MD
NPI 1992266977
Internal Medicine - Nephrology in Philadelphia, PA

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment
51 N 39TH ST, PHILADELPHIA, PA 19104(215) 662-8730(215) 243-4686 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, May 14, 2025, Oct 1, 2024 (3 updates tracked since 2024).

About Sebastian Alexander Franco Md NPPES

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

SEBASTIAN ALEXANDER FRANCO MD (NPI 1992266977) is an individual nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484582) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1992266977
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSEBASTIAN ALEXANDER FRANCOCredential: MD
Location Address51 N 39TH STPhiladelphia, PA 19104-2640
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (901) 489-2963
Phone(215) 662-8730
Fax(215) 243-4686
Sole ProprietorYes
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2019
Enumeration DateMarch 31, 2019
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1992266977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD484582
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD484582 (PA)
51 N 39TH ST, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 13900 Woodland AvePhiladelphia, PA 19104-4551 · Phone (215) 823-5800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Alexander Franco 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 ID547602534
PECOS Enrollment IDI20240522001338
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 5

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.

Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
31 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
25 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

DR. ROBERT BURKE M.D.
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9436
JOSEPH FRANCIS HARRYHILL MD
Urology
51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8699
NIELS DOUGLAS MARTIN MD
Surgery (Trauma Surgery)
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DESIREE E KOTARBA CRNA
Registered Nurse
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8000
DR. SONYA LEE MD
Obstetrics & Gynecology (Gynecology)
51 N 39TH ST, MOB 340
PHILA, PA 19104
Philadelphia County (215) 662-9775
GARY J VIGILANTE MD
Internal Medicine (Cardiovascular Disease)
51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9010
ANITA C LEE MD
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9436
GIRIDHAR MALLYA MD
Family Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777

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 Franco's NPI number?

The NPI number for Sebastian Franco is 1992266977. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Sebastian Franco located?

Sebastian Franco practices at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (215) 662-8730.

What is Sebastian Franco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sebastian Franco enrolled in Medicare?

Yes. Sebastian Franco 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 Franco accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sebastian Franco 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 Franco affiliated with any hospitals?

According to CMS data, Sebastian Franco is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Sebastian Franco was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.