Active NPI 1629375985 Individual Practitioner Female Practitioner

Gracykutty T Sebastian , CNP

Nurse Practitioner • Mchenry, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gracykutty Sebastian, CNP is a certified Nurse Practitioner practicing in Mchenry, IL. With approximately 42 years of clinical experience since completing medical education in 1984, Gracykutty Sebastian delivers high-quality medical care to the local community at 4201 W MEDICAL CENTER DR.

Gracykutty Sebastian is affiliated with Northwestern Medical Faculty Foundation 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, hospital discharge day management, more than, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4201 W Medical Center Dr

Mchenry, IL 600508409

Telephone 8157594323

Fax 8157594948

Associated Practice Facility / Clinic

🏢 Illinois/indiana Em-I Medical Services, S.c. Facility NPI 1265471163

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mchenry, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +32.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

42 Specialists

Practicing in Mchenry, IL (4929 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sebastian (42 Years) 42 Yrs

Mchenry Specialty Average (9.2 Years) 9.2 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	249	148	$311.00	$97.48
99239 Hospital discharge day management, more than 30 minutes	165	156	$320.00	$93.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	62	$217.00	$64.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	60	$335.00	$118.54
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	78	36	$201.00	$24.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$420.00	$107.75
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	24	14	$161.00	$25.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$403.00	$109.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$613.00	$142.35
99238 Hospital discharge day management, 30 minutes or less	13	12	$216.00	$65.22

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	406	245	$217.00	$65.45
99238 Hospital discharge day management, 30 minutes or less	143	140	$216.00	$66.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	60	$119.00	$40.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	36	$238.00	$80.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$420.00	$108.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	14	$311.00	$98.86
99213 Established patient office or other outpatient visit, typically 15 minutes	20	14	$187.00	$54.70
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$312.00	$69.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$403.00	$110.74

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	430	259	$217.33	$58.84
99238 Hospital discharge day management, 30 minutes or less	162	157	$216.00	$59.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	100	65	$119.66	$32.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	59	$311.00	$84.45
99217 Hospital observation care on day of discharge	41	41	$218.00	$58.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	15	$238.00	$81.63
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$312.00	$84.02

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	443	262	$260.23	$60.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	381	203	$516.85	$86.24
99238 Hospital discharge day management, 30 minutes or less	298	282	$303.81	$60.05
99217 Hospital observation care on day of discharge	89	87	$228.16	$59.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	39	$122.60	$32.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	18	$100.00	$61.62
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$319.41	$85.06
99225 Subsequent observation care, typically 25 minutes per day	17	13	$217.00	$60.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$454.80	$113.99

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	520	292	$433.00	$61.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	439	250	$621.00	$88.35
99238 Hospital discharge day management, 30 minutes or less	182	174	$483.00	$61.40
99217 Hospital observation care on day of discharge	20	19	$444.00	$61.48
99239 Hospital discharge day management, more than 30 minutes	20	20	$631.00	$90.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	12	$100.00	$81.38
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$180.00	$149.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	718	464	$621.00	$88.09
99238 Hospital discharge day management, 30 minutes or less	312	294	$483.00	$61.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	197	152	$433.00	$61.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	128	43	$100.00	$82.57
99306 Initial nursing facility visit, typically 45 minutes per day	65	59	$180.00	$149.68
99217 Hospital observation care on day of discharge	60	60	$444.00	$61.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	16	$75.00	$61.90
99239 Hospital discharge day management, more than 30 minutes	13	13	$631.00	$90.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	525	325	$589.65	$87.56
99238 Hospital discharge day management, 30 minutes or less	272	258	$458.99	$61.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	164	44	$100.00	$79.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	150	34	$75.00	$60.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	96	$399.58	$61.23
99306 Initial nursing facility visit, typically 45 minutes per day	96	85	$180.00	$144.87
99239 Hospital discharge day management, more than 30 minutes	15	15	$546.60	$89.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	295	63	$100.00	$81.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	102	$199.00	$86.31
99306 Initial nursing facility visit, typically 45 minutes per day	96	82	$180.00	$148.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	58	$135.00	$59.57
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	66	32	$75.00	$61.81
99238 Hospital discharge day management, 30 minutes or less	29	29	$172.00	$60.31
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$100.00	$59.69
99239 Hospital discharge day management, more than 30 minutes	13	13	$209.00	$89.46

Medical Specialties & State Licenses

CMS Verified: 2021-04-21

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-007338

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License

209007338 (IL)

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

10400 Haligus Rd, Huntley, IL 601429553

Northwestern Medical Faculty Foundation

4201 W Medical Ctr Dr, Mchenry, IL 600508409

Phone: 8157594800

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

4201 W Medical Ctr Dr, Mchenry, IL 600508409

Phone: 8157594323

Northwestern Medical Faculty Foundation

515 Valley View Dr, Moline, IL 612656175

Phone: 3126950870

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Secondary Practice Locations

2971 W Algonquin Rd, Suite 104

Algonquin, IL 601029406

Phone: 8476587693

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Hospitalist

NPI 1003164443

Doctor of Medicine (M.D.)

Dr. Cory Mellon , MD

Hospitalist

NPI 1013413608

Doctor of Medicine (M.D.)

Dr. Shaji Baig , MD

Hospitalist

NPI 1023216405

Doctor of Medicine (M.D.)

Dr. Stuart Cohen , MD

Anesthesiology

NPI 1043261449

Doctor of Medicine (M.D.)

Dr. Nabeel Noor , MD

Hospitalist

NPI 1073048625

Doctor of Medicine (M.D.)

Dr. Bilal Khan , DO

Hospitalist

NPI 1073141370

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location April 21, 2021

Registered at 4201 W MEDICAL CENTER DR, MCHENRY, IL 600508409 (Tel: 8157594323)

📍

Updated Business Mailing Address April 21, 2021

Registered at 4201 W MEDICAL CENTER DR, MCHENRY, IL 600508409 (Tel: 8157594323)

📍

Updated Practice Location June 15, 2018

Registered at 4309 W MEDICAL CENTER DR STE A102, MCHENRY, IL 60050 (Tel: (815) 338-6600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2018

Nurse Practitioner (License #209-007338 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2018

Nurse Practitioner (License #209-007338 in IL)

✅

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2017

Registered at 4309 W MEDICAL CENTER DR STE A102, MCHENRY, IL 600508436 (Tel: (815) 338-6600)

📍

Updated Business Mailing Address September 06, 2017

Registered at 4309 W MEDICAL CENTER DR STE A102, MCHENRY, IL 600508436 (Tel: (815) 338-6600)

👤

Provider Name / Credentials Updated September 06, 2017

Recorded as GRACYKUTTY SEBASTIAN, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Clinical Nurse Specialist (License #209007338 in IL)

📍

Updated Business Mailing Address August 08, 2017

Registered at 10400 HALIGUS RD, HUNTLEY, IL 60142 (Tel: 8153386600)

✅

NPI Profile Active February 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2011

Registered at 2971 W ALGONQUIN RD, SUITE 104, ALGONQUIN, IL 601029406 (Tel: 8476587693)

📍

Updated Business Mailing Address February 23, 2011

Registered at 2971 W ALGONQUIN RD, SUITE 104, ALGONQUIN, IL 601029406 (Tel: 8476587693)

👤

Provider Name / Credentials Updated February 23, 2011

Recorded as GRACYKUTTY SEBASTIAN, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2011

Clinical Nurse Specialist (License #209007338 in IL)

🟢

Initial NPI Registration & Enumeration February 23, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1629375985

Entity Type:

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

Enumeration Date: February 23, 2011

Last Update: April 21, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4201 W Medical Center Dr

Mchenry, IL 600508409

Phone: 8157594323

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.