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Active NPI 1235217951 Individual Practitioner Male Practitioner

Dr. Jack E. Sebben , MD

Dermatology - MOHS-Micrographic Surgery • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Sebben, MD is a registered healthcare professional specializing in Dermatology - MOHS-Micrographic Surgery in Seattle, WA. Practice services are available at 1229 MADISON ST STE 1480 under active NPI credentials.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1229 Madison St Ste 1480

Seattle, WA 981043538

Telephone 2063466647
Associated Practice Facility / Clinic
🏢 Skin Surgery Center Ps Facility NPI 1689755894

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 21.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Seattle, WA (46 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
125 114 $679.67 $335.64
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
92 68 $397.33 $377.44
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
42 42 $797.00 $743.63
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
34 33 $783.18 $732.08
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs
13 13 $877.69 $850.64
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm
12 12 $1086.08 $922.00

Medical Specialties & State Licenses

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License WA MD00013487

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License CA C31669

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00C316690 (CA)
Commercial Insurance / Payer ID State Of Washington
MD00013487 (WA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Rachel Parine , PA-C

Physician Assistant

NPI 1043599210

Physician Assistant (Certified)

Dr. Peter Odland , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1093896102

Doctor of Medicine (M.D.)

Nicole Marshall , PA-C

Physician Assistant

NPI 1518284736

Physician Assistant (Certified)

Dr. Annalisa Gorman , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1780765800

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 October 06, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2008

Registered at 1229 MADISON ST STE 1480, SEATTLE, WA 981043538 (Tel: 2063466647)

📍
Updated Business Mailing Address October 06, 2008

Registered at 1229 MADISON ST STE 1480, SEATTLE, WA 981043538 (Tel: 2063466647)

👤
Provider Name / Credentials Updated October 06, 2008

Recorded as JACK SEBBEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2008

Dermatology (License #MD00013487 in WA)

🟢
Initial NPI Registration & Enumeration November 01, 2006

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: 1235217951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: October 06, 2008
Sole Proprietor: No

Mailing Address

1229 Madison St Ste 1480

Seattle, WA 981043538

Phone: 2063466647

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.