2026 NPPES data Hospice and Palliative Medicine (Internal Medicine) Physician NPI 1457779324 MD
Verify on CMS →

SEBASTIAN COUSINS, MD

Hospice and Palliative Medicine (Internal Medicine) Physician in SILVERDALE, Washington. 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
199
Medicare Part D claims · 62 beneficiaries · Hospice and Palliative Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
28%
generic claims · 72% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: SEBASTIAN COUSINS, MD is a Hospice and Palliative Medicine (Internal Medicine) Physician ([object Object]) practicing in SILVERDALE, Washington with a Medicare Part D prescribing footprint of 199 claims across 62 beneficiaries — 72% brand-name prescribing .

What stands out: SEBASTIAN COUSINS, MD filed 199 Medicare Part D claims in 2023 across SILVERDALE, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SEBASTIAN COUSINS, MD 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).

SEBASTIAN COUSINS, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/28/2014

NPI 1457779324

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) Physician

Niche

1,524 US NPIs in this specialty

Medicare Part D claims

199 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,275

Specialty distribution in Washington

How Hospice and Palliative Medicine (Internal Medicine) Physician compares to other specialties among Washington providers

Washington providers

Hospice and Palliative Medicine (Internal Medicine) Physician share within Washington

1. Hospice and Palliative Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospice and Palliative Medicine (Internal Medicine) Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Hospice and Palliative Medicine (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hospice and Palliative Medicine (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Hospice and Palliative Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hospice and Palliative Medicine (Internal Medicine) 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).

SEBASTIAN COUSINS, MD is a Hospice and Palliative Medicine (Internal Medicine) Physician provider practicing in SILVERDALE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1457779324. 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.

SEBASTIAN COUSINS, MD appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Internal Medicine) Physician provider holding MD credentials at 1950 NW MYHRE RD FL 2, SILVERDALE, WA, 98383, with a listed phone of (564) 240-4000. NPI 1457779324 was issued on 03/28/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COUSINS 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 199 prescription claims written by this provider, covering 62 Medicare beneficiaries and totaling roughly $83K in drug spend, split 72% brand-name and 28% generic by claim count. 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.

Hospice and Palliative Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 1,524 enrolled providers across 51 states and an average of 1,275 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

1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383

Provider Details

NPI 1457779324
Specialty Hospice and Palliative Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 03/28/2014

Hospital and facility affiliations

Facilities where SEBASTIAN COUSINS, MD 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.

FRANCISCAN MEDICAL GROUP
SILVERDALE, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to SEBASTIAN COUSINS, MD. To verify SEBASTIAN COUSINS, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

SEBASTIAN COUSINS, MD — brand share 72.0%
Specialty average (est.)

72% brand-name claims vs 28% generic, on 199 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.

199
Total Claims
$83K
Total Drug Cost
62
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
230
Total Day Supply
6,572
Brand vs Generic
72% brand / 28% generic
Brand Drug Cost
$69K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.68
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
40
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
22
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
18
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
17
Symbicort
Budesonide/Formoterol Fumarate
13
Spiriva Respimat
Tiotropium Bromide
11

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

Hospice and Palliative Medicine (Internal Medicine) Physician Overview

How SEBASTIAN COUSINS, MD fits within the Hospice and Palliative Medicine (Internal Medicine) Physician landscape nationally.

1,524
Hospice and Palliative Medicine (Internal Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Internal Medicine) Physician
1,275
Avg Claims per Provider

SEBASTIAN COUSINS, MD's 199 claims are below the specialty average of 1,275.

Nearby Hospice and Palliative Medicine (Internal Medicine) Physician Providers in Washington

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

Compare Hospice and Palliative Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEBASTIAN COUSINS, MD's specialty?
SEBASTIAN COUSINS, MD specializes in Hospice and Palliative Medicine (Internal Medicine) Physician and practices in SILVERDALE, Washington. Credentials: MD.
How much does SEBASTIAN COUSINS, MD prescribe under Medicare Part D?
In 2023, SEBASTIAN COUSINS, MD wrote 199 Medicare Part D claims totaling $83K in drug costs for 62 beneficiaries.
Where is SEBASTIAN COUSINS, MD located?
SEBASTIAN COUSINS, MD is located at 1950 NW MYHRE RD FL 2, SILVERDALE, WA, 98383. Phone: (564) 240-4000.
What is SEBASTIAN COUSINS, MD's NPI number?
SEBASTIAN COUSINS, MD's National Provider Identifier (NPI) is 1457779324, issued on 03/28/2014.
Does SEBASTIAN COUSINS, MD prescribe more brand-name or generic drugs?
SEBASTIAN COUSINS, MD's prescribing is 72% brand-name and 28% generic drugs by claim count, with $69K in brand drug costs.
How many Hospice and Palliative Medicine (Internal Medicine) Physician providers are there in the US?
There are 1,524 Hospice and Palliative Medicine (Internal Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Internal Medicine) Physician provider writes 1,275 Medicare Part D claims per year.
What drugs does SEBASTIAN COUSINS, MD prescribe most often?
Based on 2023 Medicare Part D data, SEBASTIAN COUSINS, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Anoro Ellipta, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEBASTIAN COUSINS, MD accept Medicare?
SEBASTIAN COUSINS, MD appears in CMS Medicare data with 199 Part D claims and 62 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEBASTIAN COUSINS, MD's credentials?
SEBASTIAN COUSINS, MD's NPI is 1457779324 with credentials MD. 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