Active NPI 1639166739 Individual Practitioner Male Practitioner

Dr. Joel L Sebastien , MD

Surgery • Daytona Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joel Sebastien, MD is a certified Surgery practicing in Daytona Beach, FL. With approximately 28 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1998, Dr. Sebastien delivers high-quality medical care to the local community at 201 NORTH CLYDE MORRIS BLVD..

Dr. Sebastien maintains professional affiliations with Florida Health Care Plan Inc, Florida Clinical Practice Association Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

201 North Clyde Morris Blvd.
Suite 100

Daytona Beach, FL 321142724

Telephone 3862383295

Fax 3863283273

Associated Practice Facility / Clinic

🏢 East Coast Bariatrics, Inc. Facility NPI 1932428372

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Daytona Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +0.4 yrs vs City Avg

City Avg: 27.6 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

24 Specialists

Practicing in Daytona Beach, FL (2030 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sebastien (28 Years) 28 Yrs

Daytona Beach Specialty Average (27.6 Years) 27.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$291.32	$76.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	15	$438.60	$115.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$486.00	$127.82
99238 Hospital discharge day management, 30 minutes or less	11	11	$296.55	$78.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	38	$150.35	$50.69
99221 Initial hospital inpatient care per day, typically 30 minutes	41	41	$270.45	$84.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	22	$281.00	$80.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$478.50	$132.04
99238 Hospital discharge day management, 30 minutes or less	12	12	$282.33	$81.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$298.80	$101.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	26	$213.13	$70.72
99213 Established patient office or other outpatient visit, typically 15 minutes	17	12	$127.36	$85.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$79.18	$56.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	25	$158.88	$72.30
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$269.28	$102.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$318.00	$201.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	38	$177.31	$73.99
99221 Initial hospital inpatient care per day, typically 30 minutes	40	40	$280.90	$102.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	24	$101.38	$40.48
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$104.86	$75.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	14	$67.53	$40.18
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$171.23	$103.93
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$104.17	$73.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$152.65	$107.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	36	$101.40	$67.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	20	$111.65	$70.79
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$160.00	$99.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$151.06	$101.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	59	$102.44	$69.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$111.93	$70.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$152.52	$103.86

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME89364

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.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License FL ME89364

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

269716500 (FL)

Commercial Insurance / Payer ID Multiplan

1639166739 (FL)

Commercial Insurance / Payer ID Bcbs

43297 (FL)

Commercial Insurance / Payer ID Railroad

P00908241 (FL)

Commercial Insurance / Payer ID Tricare

1639166739 (FL)

Commercial Insurance / Payer ID Vhn

1639166739 (FL)

Hospital & Practice Group Affiliations

Florida Health Care Plan Inc

201 N Clyde Morris Blvd, Daytona Beach, FL 321142765

Phone: 3862527118

Florida Clinical Practice Association Inc

303 N Clyde Morris Blvd, Daytona Beach, FL 321142709

Phone: 3864254000

Florida Clinical Practice Association Inc

311 N Clyde Morris Blvd, Daytona Beach, FL 321142768

Phone: 3864252639

Florida Clinical Practice Association Inc

1041 Dunlawon Ave, Port Orange, FL 321277968

Phone: 3864254700

Florida Clinical Practice Association Inc

2001 Sw 13th St, Gainesville, FL 326081532

Phone: 3522658982

Florida Clinical Practice Association Inc

2001 Sw 13th St, Gainesville, FL 326081532

Phone: 3522658990

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Joseph Sinex , MD

Surgery

NPI 1063409175

Doctor of Medicine (M.D.)

Dr. Suh Lim , MD

Surgery

NPI 1497074694

Doctor of Medicine (M.D.)

Dr. Caren Wilkie , MD

Surgery

NPI 1588651699

Doctor of Medicine (M.D.)

Dr. Harry Black , MD

Surgery

NPI 1982691077

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2016

Registered at 201 NORTH CLYDE MORRIS BLVD., SUITE 100, DAYTONA BEACH, FL 321142724 (Tel: 3862383295)

📍

Updated Business Mailing Address March 04, 2016

Registered at PO BOX 9671, DAYTONA BEACH, FL 321209671 (Tel: 3866767130)

👤

Provider Name / Credentials Updated March 04, 2016

Recorded as JOEL SEBASTIEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2016

Surgery (License #ME89364 in FL)

🟢

Initial NPI Registration & Enumeration October 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639166739

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2005

Last Update: March 04, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9671

Daytona Beach, FL 321209671

Phone: 3866767130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.