Active NPI 1669647921 Individual Practitioner Male Practitioner

Dr. Sebastian De La Fuente , MD

Surgery • Orlando, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sebastian De La Fuente, MD is a certified Surgery practicing in Orlando, FL. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. De La Fuente delivers high-quality medical care to the local community at 2415 N. ORANGE AVE.

Dr. De La Fuente is affiliated with Florida Hospital Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2415 N. Orange Ave
Suite 400

Orlando, FL 32804

Telephone 4073037399

Fax 4073037305

Associated Practice Facility / Clinic

🏢 Adventist Health System Sunbelt Inc Facility NPI 1679668669

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Orlando, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -4.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

83 Specialists

Practicing in Orlando, FL (2030 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. De La Fuente (19 Years) 19 Yrs

Orlando Specialty Average (23.0 Years) 23.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	76	59	$270.00	$87.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$337.00	$108.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	20	$152.00	$47.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$500.00	$163.64
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$255.00	$82.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$661.00	$215.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	12	$240.00	$77.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$396.00	$128.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$382.00	$124.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	52	$269.78	$88.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	24	$151.27	$49.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$394.72	$129.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$499.25	$166.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	23	$381.69	$127.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$335.97	$112.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$658.87	$220.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	41	$271.62	$87.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$337.14	$113.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	16	$118.00	$38.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$167.77	$54.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$507.00	$163.25
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$307.00	$101.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$68.00	$22.64
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1042.00	$346.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$384.00	$125.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$58.00	$19.01
76937 Ultrasonic guidance for blood vessel access	13	13	$42.00	$13.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$410.00	$135.75

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	46	18	$217.00	$69.65
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$272.97	$92.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$168.00	$56.24
99221 Initial hospital inpatient care per day, typically 30 minutes	26	22	$308.00	$103.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$339.00	$111.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$507.64	$170.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$671.00	$225.47
76937 Ultrasonic guidance for blood vessel access	14	14	$43.00	$14.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$3221.00	$339.06
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$58.00	$19.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$411.00	$118.45

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	47	21	$222.00	$63.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	19	$122.00	$28.27
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	18	$69.00	$20.00
99221 Initial hospital inpatient care per day, typically 30 minutes	21	19	$316.00	$105.91
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$226.00	$74.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$137.00	$39.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$325.00	$109.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$425.00	$118.13
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$58.00	$19.50
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3213.18	$329.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	24	$328.00	$108.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$223.00	$73.81
99221 Initial hospital inpatient care per day, typically 30 minutes	25	23	$313.00	$103.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$328.00	$108.56
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$224.00	$69.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$440.00	$145.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$628.00	$207.91
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$58.00	$19.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$3222.00	$328.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$499.00	$165.26

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	30	18	$221.00	$71.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$435.00	$139.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$322.00	$103.49
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$219.00	$70.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$420.00	$134.04
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$313.00	$99.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$121.00	$38.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$625.00	$200.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$498.00	$159.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	22	$121.00	$35.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$420.00	$137.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$221.00	$66.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$625.00	$196.13
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$313.00	$97.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$130.00	$42.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	13	$59.00	$18.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	13	$3019.71	$324.44

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME106946

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

NUCC Taxonomy Code: 208600000X

State License NC 117167

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License FL ME106946

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

002460700 (FL)

Hospital & Practice Group Affiliations

Florida Hospital Medical Group Inc

2600 Westhall Ln, Maitland, FL 327517102

Phone: 4072002700

Florida Hospital Medical Group Inc

2415 N Orange Ave, Orlando, FL 328045505

Florida Hospital Medical Group Inc

601 E Rollins St, Orlando, FL 328031248

Phone: 4073032570

Practice Associates & Co-Workers

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

26 Associated Practitioners

Derl Buzon , APRN

Nurse Practitioner - Family

NPI 1013431956

Advanced Practice Registered Nurse

Dr. Louis Barr , MD

Surgery

NPI 1073518049

Doctor of Medicine (M.D.)

Rachael Gentry

Physician Assistant

NPI 1073892436

Dr. William Eubanks , MD

Surgery

NPI 1164469748

Doctor of Medicine (M.D.)

Dr. Dijon Shird , MD

Student in an Organized Health Care Education/Training Program

NPI 1215826102

Doctor of Medicine (M.D.)

Dr. Rhonda Harmon , MD

Surgery

NPI 1255398640

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2019

Surgery (License #117167 in NC)

✅

NPI Profile Active May 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2013

Registered at 2415 N. ORANGE AVE, SUITE 400, ORLANDO, FL 32804 (Tel: 4073037399)

📍

Updated Business Mailing Address May 23, 2013

Registered at 2415 N. ORANGE AVE, SUITE 400, ORLANDO, FL 32804 (Tel: 4073037399)

👤

Provider Name / Credentials Updated May 23, 2013

Recorded as SEBASTIAN DE LA FUENTE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2013

Surgery (License #ME106946 in FL)

🟢

Initial NPI Registration & Enumeration April 28, 2008

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: 1669647921

Entity Type:

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

Enumeration Date: April 28, 2008

Last Update: October 31, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2415 N. Orange Ave, Suite 400

Orlando, FL 32804

Phone: 4073037399

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.