ANDREW J SEBASTYAN MD
NPI 1992790745
Family Medicine in Nashua, NH

Q: What is Andrew Sebastyan's NPI number?

The NPI number for Andrew Sebastyan is 1992790745. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Andrew Sebastyan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Sebastyan was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment

173 DANIEL WEBSTER HWY, NASHUA, NH 03060(603) 891-4804 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Andrew J Sebastyan Md NPPES

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

ANDREW J SEBASTYAN MD (NPI 1992790745) is an individual family medicine provider in Nashua, New Hampshire, licensed in South Carolina (180047) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1992790745

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDREW J SEBASTYANCredential: MD

Location Address173 DANIEL WEBSTER HWYNashua, NH 03060-5256

Mailing AddressPo Box 808Nashua, NH 03061-0808 · Fax (603) 595-2997

Phone(603) 891-4804

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateSeptember 19, 2005

Last NPPES UpdateJanuary 21, 2015

✔ NPI 1992790745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · 180047✔ Licensed in NC · 2005-00315

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

173 DANIEL WEBSTER HWY, Nashua, NH 03060

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Other Identifiers 1

Medicare UPING12711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Andrew J Sebastyan 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 ID1850317934

PECOS Enrollment IDI20241205000783

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 Reassignment

Medicare enrollment records show Andrew Sebastyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Country Hospital & Health Center Inc

145 mi

Rural Health

488 ELM ST
Barton, VT 05822

Reassigned Medicare billing, Vermont enrollment
Also billed through NPI 1144251059 (Vermont)
5 clinicians in this Medicare group

NPI 1104868892 (802) 525-3539

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 4

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.

353 services209 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.

194 services152 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

140 services140 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.

20 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300003

Location1 Medical Center DriveLebanon, NH 03756 · Grafton County

Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470003

Location111 Colchester AveBurlington, VT 05401 · Chittenden County

Emergency services Birthing friendly

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471303

Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County

Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471304

Location189 Prouty DriveNewport, VT 05855 · Orleans County

Emergency services

Copley Hospital

Critical Access Hospitals · Morrisville, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471305

Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03060 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

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers56 claims128 services$5.64 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers17 claims19 services$0.95 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims23 services$91.33 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers16 claims16 services$201.65 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.

IHAB M ZIADA MD

Internal Medicine