Physician

Sheldon Sebastian, MD

According to 2025 Medicare claims, Sheldon Sebastian, MD (NPI: 1679612683) practices dermatology in the Kansas City, MO-KS market, with the plurality of this provider's patient population coming from Jackson, MO. This provider's primary affiliated billing organization is DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC. (NPI: 1366632697; TIN: 861072868) and primary practice location at 64064-2301.

Sebastian's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,608 traditional Medicare patients, billed 8,309 HCPCS/CPT codes, and received $670,268 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 1,483 prescription claims across 1,067 beneficiaries totaling $20,201 in drug costs, led by Cephalexin (Cephalexin). Open Payments data shows 16 records totaling $579. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $108,982 to $20,201. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,403	8,343	$699,442
2016	1,485	9,226	$656,083
2017	1,627	9,633	$664,738
2018	1,814	10,739	$675,156
2019	1,907	11,038	$741,296
2020	1,779	9,144	$665,129
2021	1,985	10,157	$745,623
2022	2,012	9,580	$706,080
2023	1,782	8,905	$687,114
2024	1,608	8,309	$670,268

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	685	1,238	$108,982
2016	798	1,433	$159,579
2017	856	1,328	$60,932
2018	884	1,352	$40,163
2019	880	1,314	$43,338
2020	852	1,303	$42,692
2021	1,012	1,451	$31,320
2022	1,147	1,574	$40,357
2023	1,071	1,553	$36,554
2024	1,067	1,483	$20,201

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
17311	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	428	569	$227
11102	Biopsy of related skin growth, first growth	369	432	$67
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	1,300	1,609	$59
17000	Destruction of precancer skin growth, 1 growth	483	570	$38
17003	Destruction of precancer skin growth, 2-14 growths	377	2,442	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Cephalexin	Cephalexin	756	6,285	$4,582
Doxycycline Hyclate	Doxycycline Hyclate	311	3,945	$3,556
Betamethasone Dipropionate	Betamethasone Dipropionate	51	1,318	$2,205
Metronidazole	Metronidazole	39	1,069	$1,628
Ketoconazole	Ketoconazole	91	3,030	$1,571

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	16	$579	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Sheldon Sebastian, MD?

Tedicare shows public-source Medicare data for Sheldon Sebastian, MD (NPI 1679612683), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Sheldon Sebastian, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Sheldon Sebastian, MD?

Sheldon Sebastian, MD is linked to DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC. (billing NPI 1366632697) in the available physician profile data.

Does Sheldon Sebastian, MD have Open Payments data?

Sheldon Sebastian, MD has 16 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.