NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1427604081 PA-C
Verify on CMS → Jessica Sebastian, PA-C
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Wilmington, Delaware.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,630 in Pain Medicine (Physical Medicine & Rehabilitation) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 915 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$596.83
31 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Jessica Sebastian, PA-C reported a CMS MIPS final score of 76.7/100 - below the 83.1 national average - and filed 3,772 Medicare Part D claims in 2023.
- 76.7/100
- MIPS score · -6 vs avg
- 4K
- Part D claims, 2023
- 90%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Jessica Sebastian, PA-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Jessica Sebastian, PA-C sits
This provider among pain medicine (physical medicine & rehabilitation) physician peers
Across the 526 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jessica Sebastian, PA-C writes more Part D claims than 86% of them and scores higher on MIPS quality than 50% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Jessica Sebastian, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jessica Sebastian, PA-C practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jessica Sebastian, PA-C?
Below national averagePrimary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
3,772 169% vs specialty avg
MIPS final score
76.7/100 6.4 pts vs avg
Specialty distribution in Delaware
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Delaware providers
Medicare quality performance, MIPS
Jessica Sebastian, PA-C's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 76.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 76.7/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Jessica Sebastian, PA-C appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding PA-C credentials at 405 SILVERSIDE RD STE 104, Wilmington, DE, 19809, with a listed phone of (844) 365-7246. NPI 1427604081 was issued on 08/09/2019.
Medicare Part D records for calendar year 2023 show 3,772 prescription claims written by this provider, covering 915 Medicare beneficiaries and totaling roughly $415K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 71.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.7/100 for the 2023 performance year (Quality 90.3, Cost 96), compared with the national average of 83.1.
Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,630 enrolled providers across 50 states and an average of 1,401 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1427604081 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 08/09/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.7457
Final Score
Avg: 83.1
90.309
Quality
95.957
Cost
0
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Jessica Sebastian, PA-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Center For Interventional Pain Spine LLC
Middletown, DE
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Jessica Sebastian, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$597
Largest payer
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Jessica Sebastian, PA-C - brand share 10.0%
Pain Medicine (Physical Medicine & Rehabilitation) Physician average
10% brand-name claims vs 90% generic, on 3,772 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
3,772
Total Claims
$415K
Total Drug Cost
915
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,893
- Total Day Supply
- 110,181
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $270K
- Generic Drug Cost
- $144K
- Opioid Claims
- 2,681 (71.1% rate)
Patient Demographics
- Average Patient Age
- 64.2 years
- Avg HCC Risk Score
- 1.99
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 433, 65-74: 347, 75-84: 117, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jessica Sebastian, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
909 claims
- Oxycodone Hcl
Oxycodone Hcl
574 claims
- Hydrocodone-Acetam… 219
Hydrocodone-Acetaminophen
219 claims
- Gabapentin 209
Gabapentin
209 claims
- Tizanidine Hcl 200
Tizanidine Hcl
200 claims
- Morphine Sulfate Er 163
Morphine Sulfate Er
163 claims
- Cyclobenzaprine Hcl 152
Cyclobenzaprine Hcl
152 claims
- Tramadol Hcl 147
Tramadol Hcl
147 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 909 |
| Oxycodone Hcl | 574 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 219 |
| Gabapentin | 209 |
| Tizanidine Hcl | 200 |
| Morphine Sulfate Er Morphine Sulfate | 163 |
| Cyclobenzaprine Hcl | 152 |
| Tramadol Hcl | 147 |
| Tramadol Hcl Er Tramadol Hcl | 135 |
| Pregabalin | 131 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in DE →
All providers in Delaware →
Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Jessica Sebastian, PA-C fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider
Jessica Sebastian, PA-C's 3,772 claims are above the specialty average of 1,401.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Delaware
Other clinicians with the same primary specialty enrolled in Delaware, drawn from the same CMS NPPES roster as Sebastian.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Delaware medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Jessica Sebastian, PA-C's specialty? ▼
Jessica Sebastian, PA-C specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Wilmington, Delaware. Credentials: PA-C.
How much does Jessica Sebastian, PA-C prescribe under Medicare Part D? ▼
In 2023, Jessica Sebastian, PA-C wrote 3,772 Medicare Part D claims totaling $415K in drug costs for 915 beneficiaries.
What is Jessica Sebastian, PA-C's Medicare quality score? ▼
Jessica Sebastian, PA-C has a CMS MIPS Final Score of 76.7/100 (Quality: 90.3, Cost: 96). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jessica Sebastian, PA-C located? ▼
Jessica Sebastian, PA-C is located at 405 SILVERSIDE RD STE 104, Wilmington, DE, 19809. Phone: (844) 365-7246.
What is Jessica Sebastian, PA-C's NPI number? ▼
Jessica Sebastian, PA-C's National Provider Identifier (NPI) is 1427604081, issued on 08/09/2019.
Does Jessica Sebastian, PA-C prescribe more brand-name or generic drugs? ▼
Jessica Sebastian, PA-C's prescribing is 10% brand-name and 90% generic drugs by claim count, with $270K in brand drug costs.
Does Jessica Sebastian, PA-C prescribe opioids? ▼
Yes, Jessica Sebastian, PA-C had 2,681 opioid claims in 2023 with an opioid prescribing rate of 71.1%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Jessica Sebastian, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Jessica Sebastian, PA-C's most frequently prescribed drugs include Oxycodone-Acetaminophen, Oxycodone Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jessica Sebastian, PA-C accept Medicare? ▼
Jessica Sebastian, PA-C appears in CMS Medicare data with 3,772 Part D claims and 915 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jessica Sebastian, PA-C's credentials? ▼
Jessica Sebastian, PA-C's NPI is 1427604081 with credentials PA-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.