2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1376962688 DO
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SEBASTIAAN BENS, DO

Physical Medicine & Rehabilitation Physician in CUMMING, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 350 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$59.79
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SEBASTIAAN BENS, DO filed 2,024 Medicare Part D claims in 2023 as a Physical Medicine & Rehabilitation Physician in CUMMING, Georgia, prescribing 97% generic.

2K
Part D claims, 2023
97%
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.

SEBASTIAAN BENS, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,024 Top 16% higher than 84% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

SEBASTIAAN BENS, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 SEBASTIAAN BENS, DO?

Quality data not reported

NPI registry status

Active

Issued 04/15/2014

NPI 1376962688

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

2,024 159% vs specialty avg

2023 prescription claims

Specialty avg: 781

Specialty distribution in Georgia

How Physical Medicine & Rehabilitation Physician compares to other specialties among Georgia providers

Georgia providers

Physical Medicine & Rehabilitation Physician share within Georgia

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Physical Medicine & Rehabilitation Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physical Medicine & Rehabilitation Physician ABMS/AOA estimate

Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

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).

SEBASTIAAN BENS, DO is a Physical Medicine & Rehabilitation Physician provider practicing in CUMMING, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1376962688. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SEBASTIAAN BENS, DO appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding DO credentials at 2450 ATLANTA HWY STE 903, CUMMING, GA, 30040, with a listed phone of (404) 659-5909. NPI 1376962688 was issued on 04/15/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,024 prescription claims written by this provider, covering 350 Medicare beneficiaries and totaling roughly $70K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 36.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

2450 ATLANTA HWY STE 903
CUMMING, GA 30040

Provider Details

NPI 1376962688
Specialty Physical Medicine & Rehabilitation Physician
Credentials DO
Gender Male
NPI Issued 04/15/2014

Hospital and facility affiliations

Facilities where SEBASTIAAN BENS, DO 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.

HOOMAN SEDIGHI MD PA
DALLAS, TX

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 SEBASTIAAN BENS, DO. Source: openpaymentsdata.cms.gov.

Total received

$60

Largest payer

Medtronic, Inc.

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 · Generic-heavy

SEBASTIAAN BENS, DO — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 2,024 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.

2,024
Total Claims
$70K
Total Drug Cost
350
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,402
Total Day Supply
62,490
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$26K
Generic Drug Cost
$44K
Opioid Claims
738 (36.5% rate)

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.84
Gender Split
60% female / 40% male
Age Distribution
<65: 65, 65-74: 155, 75-84: 107, 85+: 23

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
426
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
334
Tramadol Hcl
122
Duloxetine Hcl
110
Methocarbamol
98
Acetaminophen-Codeine
Acetaminophen With Codeine
90
Pregabalin
77
Naloxone Hcl
59
Meloxicam
57
Celecoxib
56

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physical Medicine & Rehabilitation Physician Overview

How SEBASTIAAN BENS, DO fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

SEBASTIAAN BENS, DO's 2,024 claims are above the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as BENS.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEBASTIAAN BENS, DO's specialty?
SEBASTIAAN BENS, DO specializes in Physical Medicine & Rehabilitation Physician and practices in CUMMING, Georgia. Credentials: DO.
How much does SEBASTIAAN BENS, DO prescribe under Medicare Part D?
In 2023, SEBASTIAAN BENS, DO wrote 2,024 Medicare Part D claims totaling $70K in drug costs for 350 beneficiaries.
Where is SEBASTIAAN BENS, DO located?
SEBASTIAAN BENS, DO is located at 2450 ATLANTA HWY STE 903, CUMMING, GA, 30040. Phone: (404) 659-5909.
What is SEBASTIAAN BENS, DO's NPI number?
SEBASTIAAN BENS, DO's National Provider Identifier (NPI) is 1376962688, issued on 04/15/2014.
Does SEBASTIAAN BENS, DO prescribe more brand-name or generic drugs?
SEBASTIAAN BENS, DO's prescribing is 3% brand-name and 97% generic drugs by claim count, with $26K in brand drug costs.
Does SEBASTIAAN BENS, DO prescribe opioids?
Yes, SEBASTIAAN BENS, DO had 738 opioid claims in 2023 with an opioid prescribing rate of 36.5%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does SEBASTIAAN BENS, DO prescribe most often?
Based on 2023 Medicare Part D data, SEBASTIAAN BENS, DO's most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEBASTIAAN BENS, DO accept Medicare?
SEBASTIAAN BENS, DO appears in CMS Medicare data with 2,024 Part D claims and 350 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEBASTIAAN BENS, DO's credentials?
SEBASTIAAN BENS, DO's NPI is 1376962688 with credentials DO. 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

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.
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