NPPES file of Aug 9, 2026

Nastassia Cassandra Sylvestre, MD

Internal Medicine Physician · Santa Barbara, CA

Nastassia Cassandra Sylvestre, MD is an internal medicine physician with a practice address in Santa Barbara, California, and NPI 1649658659, issued on May 11, 2015. Check the license (California C197592, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1649658659
Name
Nastassia Cassandra Sylvestre
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License numbers
C197592 CA
036157419 IL
4301107039 MI
Self-reported in NPPES; status is on the state search
Practice location
400 W Pueblo St, Santa Barbara, CA 93105
Phone
(805) 682-7111
Enumerated
May 11, 2015
Record last updated
Dec 20, 2024
Fax
(805) 749-2961
Medicare enrollment
Enrolled (PECOS I20240925001673); accepts Medicare assignment
Medical or professional school
University Of Michigan Medical School, 2015
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 400 W Pueblo St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tabitha Abraham, FNPFamily Nurse Practitioner1811558042
  2. Kristina Abramyan, FNPFamily Nurse Practitioner1114810686
  3. Tamanna AhluwaliaStudent in an Organized Health Care Education/Training Program1376338384
  4. Jung Hwa Ahn, MDStudent in an Organized Health Care Education/Training Program1083553572
  5. Fares Al-Khouja, MDStudent in an Organized Health Care Education/Training Program1497441778
  6. Sarah Anderson, MDStudent in an Organized Health Care Education/Training Program1154172872

Verify Nastassia Cassandra Sylvestre in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license C197592
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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77% fewer Medicare Part D claims than the average internal medicine physician in 2024

733 Medicare Part D claims for 99 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims.

  1. Nastassia Sylvestre733
  2. Specialty average3,176

Most prescribed

  1. Atorvastatin Calcium76 claims
  2. Amlodipine Besylate49 claims
  3. Losartan Potassium41 claims
  4. Hydrochlorothiazide33 claims
  5. Simvastatin26 claims
  6. Levothyroxine Sodium25 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Cottage Clinical AssociatesSanta Barbara, CA
  2. Cottage Medical FoundationGoleta, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nastassia Cassandra Sylvestre among 17,696 internal medicine physician records in California

Nastassia Cassandra Sylvestre, MD is one of 17,696 internal medicine physician records with a practice address in California. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 76% of them.

  • NPI issued2015 · 76% of these records are older, 21% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2015 · median 2004 among the 11,065 with a school on file
  • Record last updated2024 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

129 internal medicine physician records list a practice address in Santa Barbara

They are 129 of the 5,328 NPPES records with a practice address in Santa Barbara, and 17,696 internal medicine physician records in California.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Dennis Baker, M.DSanta Barbara, CA 931051669419602
  2. James Barbabella, M.D.Santa Barbara, CA 931051114031598
  3. Laurel Bliss, MDSanta Barbara, CA 931051154368868
  4. David Dodson, M.DSanta Barbara, CA 931051619943834
  5. Patrick Frawley, MDSanta Barbara, CA 931051093707358
  6. Jeffrey Hadsall, M.D.Santa Barbara, CA 931051275641714
  7. William Koonce, MDSanta Barbara, CA 931051124010095
  8. Sandra Kramer, MDSanta Barbara, CA 931051104823418

Common questions

What is Nastassia Cassandra Sylvestre, MD's NPI number?

Nastassia Cassandra Sylvestre, MD's National Provider Identifier (NPI) is 1649658659, issued on May 11, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Nastassia Cassandra Sylvestre, MD located?

The NPPES record lists a practice address at 400 W Pueblo St, Santa Barbara, CA, 93105. Phone: (805) 682-7111. Providers update this record themselves, so call before visiting.

How can I verify Nastassia Cassandra Sylvestre, MD's license?

NPPES lists California license number C197592, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nastassia Cassandra Sylvestre, MD prescribe under Medicare Part D?

In 2024, Nastassia Cassandra Sylvestre, MD had 733 Medicare Part D claims for 99 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Nastassia Cassandra Sylvestre, MD's MIPS final score?

The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.