Doctor profile · Federal record
Dr. Sony Sebastian, D.O.
Hospitalist Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · Family Medicine Physician · Ashland, KY
- NPI 1396165866
- Accepts Medicare
- MIPS 80.7 / 100 · 2023
- 12 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2201 Lexington Ave
Ashland, KY 411012843
(606) 408-4000
fax (606) 408-6825 - Mailing address
-
Po Box 2379
Ashland, KY 411052379
Credentials & registration
- NPI registered
- April 2014 — 12 yrs on file
- Profile last updated
- December 14, 2020
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State license (1)
- Kentucky #04143
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396165866. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,404
Distinct HCPCS
5
Medicare allowed
$143,558
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 699 | 237 | $74 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 218 | 213 | $123 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 214 | 206 | $164 | |
99239 |
Hospital discharge day management, more than 30 minutes | 189 | 175 | $108 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 84 | 42 | $112 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 157. This provider delivers 8.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
327
Patients
319
Total drug cost
$3,435
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 64 | 63 | $579 |
| Cefdinir | Generic | 38 | 37 | $806 |
| Prednisone | Generic | 36 | 34 | $192 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 21 | 20 | $73 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 20 | 20 | $222 |
| Furosemide | Generic | 20 | 20 | $95 |
| Potassium Chloride | Generic | 17 | 17 | $316 |
| Tamsulosin Hcl | Generic | 17 | 16 | $158 |
| Cephalexin | Generic | 16 | 15 | $132 |
| Nifedipine Er (Nifedipine) | Brand | 16 | 16 | $389 |
Hospital affiliations
Frequently asked questions
What is Dr. Sony Sebastian's medical specialty?
Dr. Sony Sebastian practices Hospitalist Physician in Ashland, KY.
Where does Dr. Sony Sebastian practice?
Dr. Sony Sebastian practices at 2201 Lexington Ave, Ashland, KY 411012843. Office phone: 6064084000.
What is Dr. Sony Sebastian's NPI?
Dr. Sony Sebastian's National Provider Identifier (NPI) is 1396165866, issued by NPPES.
Does Dr. Sony Sebastian accept Medicare assignment?
Yes. Dr. Sony Sebastian accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sony Sebastian commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.