1. Home
  2. Directory
  3. Pennsylvania
  4. Wallingford
  5. Surgery
  6. NPI Profile

DR. SEBASTIAN FRANCIS CRUZ-SCHIAVONE MD
NPI 1992281471
Surgery in Wallingford, PA

Active since July 17, 2018PECOS Enrolled
70.44/100
CMS Quality Rating
739 WINDSOR PL, WALLINGFORD, PA 19086(267) 608-5773 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2024, Jul 17, 2018 (2 updates tracked since 2018).

About Dr. Sebastian Francis Cruz-schiavone Md NPPES

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

DR. SEBASTIAN FRANCIS CRUZ-SCHIAVONE MD (NPI 1992281471) is an individual surgery provider in Wallingford, Pennsylvania, licensed in Pennsylvania (464585) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2008).

NPPES Registry Identity

NPI1992281471
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SEBASTIAN FRANCIS CRUZ-SCHIAVONECredential: MD
Location Address739 WINDSOR PLWallingford, PA 19086-6730
Mailing Address739 Windsor PlWallingford, PA 19086-6730 · (267) 608-5773
Phone(267) 608-5773
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2008
Enumeration DateJuly 17, 2018
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1992281471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · 464585✔ Licensed in OH · 35.135306✔ Licensed in WV · 28649
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
739 WINDSOR PL, Wallingford, PA 19086
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sebastian Francis Cruz-schiavone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799035671
PECOS Enrollment IDI20180914000437
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sebastian Cruz-schiavone reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golla Center For Plastic Surgery, P.C.
241 mi
Plastic and Reconstructive Surgery
107 GAMMA DR, SUITE 210
Pittsburgh, PA 15238
  • Reassigned Medicare billing, Pennsylvania and West Virginia enrollments
  • 11 clinicians in this Medicare group
NPI 1033422969 (412) 963-6677
Geskin Medical LLC
242 mi
Cardiovascular Disease
1633 ROUTE 51 STE 105
Jefferson Hills, PA 15025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 27 clinicians in this Medicare group
NPI 1447812607 (412) 775-2019
Encore Clinical Services LLC
349 mi
Nurse Practitioner
12301 RIDGE RD
North Royalton, OH 44133
  • Reassigned Medicare billing, Ohio enrollment
  • 69 clinicians in this Medicare group
NPI 1184346140 (440) 652-8748
Wound Care Consultants LLC
350 mi
Foot & Ankle Surgery
6789 RIDGE RD STE 305
Parma, OH 44129
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
NPI 1831495373 (323) 406-8325

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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
490 services85 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
403 services100 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
75 services19 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
71 services70 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
56 services27 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
53 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19086 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

70.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.11
Improvement Activities40
Cost43.98

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 Cruz-schiavone's NPI number?

The NPI number for Sebastian Cruz-schiavone is 1992281471. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Sebastian Cruz-schiavone located?

Sebastian Cruz-schiavone practices at 739 Windsor Pl, Wallingford, PA 19086. The listed phone number is (267) 608-5773.

What is Sebastian Cruz-schiavone's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sebastian Cruz-schiavone enrolled in Medicare?

Yes. Sebastian Cruz-schiavone is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sebastian Cruz-schiavone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Cruz-schiavone reassigns Medicare benefits to 4 organizations: Golla Center For Plastic Surgery, P.C. (Pittsburgh, PA), Geskin Medical LLC (Jefferson Hills, PA), Encore Clinical Services LLC (North Royalton, OH) and Wound Care Consultants LLC (Parma, OH). Each 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 Cruz-schiavone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sebastian Cruz-schiavone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Sebastian Cruz-schiavone 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 Cruz-schiavone was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.