NPPES file of Aug 9, 2026

Sebastian J. Ksionski, MD

Pain Medicine Physician · Lynchburg, VA

Sebastian J. Ksionski, MD is a pain medicine physician with a practice address in Lynchburg, Virginia, and NPI 1033120852, issued on Aug 10, 2006. Check the license (Virginia 0101268046, as entered in NPPES) on the Virginia Department of Health Professions; 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
1033120852
Name
Sebastian J. Ksionski
Credential
MD
Primary taxonomy
Pain Medicine Physician 208VP0000X
License numbers
0101268046 VA
11013088 IN
54712 MN
55415 MN
Self-reported in NPPES; status is on the state search
Practice location
1330 Oak LN, Lynchburg, VA 24503
Phone
(434) 200-4175
Enumerated
Aug 10, 2006
Record last updated
Aug 3, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20191220002281); accepts Medicare assignment
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 1330 Oak LN

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

  1. Margaret Alexander, M.D.Diagnostic Radiology Physician1982601761
  2. Soni Carlton, M.D.Dermatology Physician1952356818
  3. Deborah Cox, MSAudiologist1285616441
  4. Carol Darrah, M.D.Diagnostic Radiology Physician1609874619
  5. Clyde Guthrow, Jr., M.D.Specialist1619996741
  6. Simon Hatin, M.D.Plastic Surgery Physician1215960331

Verify Sebastian J. Ksionski in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101268046
    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 Virginia 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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2.7 times the Medicare Part D claims of the average pain medicine physician in 2024

5,555 Medicare Part D claims for 616 beneficiaries, against an average of 2,095 among the 944 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 3,373 claims were for opioids.

  1. Sebastian Ksionski5,555
  2. Specialty average2,095

Most prescribed

  1. Hydrocodone-Acetaminophen1,120 claims
  2. Oxycodone-Acetaminophen810 claims
  3. Gabapentin717 claims
  4. Oxycodone Hcl428 claims
  5. Pregabalin315 claims
  6. Tramadol Hcl273 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 score86.4
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%94.0
  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 one group practice

  1. Centra Medical Group LLCFarmville, VA

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

Sebastian J. Ksionski among 25 pain medicine physician records in Virginia

Sebastian J. Ksionski, MD is one of 25 pain medicine physician records with a practice address in Virginia. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 52% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2003 · median 2005 among the 17 with a school on file
  • Record last updated2020 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208VP0000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pain Medicine Physician providers in Virginia

There are 25 pain medicine physician records in Virginia.

The 8 pain medicine physician records with the nearest ZIP codes

  1. Ruzbeh Toussi, D.OLynchburg, VA 245011992021216
  2. Lawrence Winikur, M.D.Danville, VA 245411043278930
  3. Jeffrey Gogel, D.O.Forest, VA 245511154311041
  4. Lynn Dahl, DOHampton, VA 236661780659896
  5. Christopher Dawson, MDNewport News, VA 236061003028812
  6. Martin Ton, MDVirginia Beach, VA 234541316966427
  7. Lyndera Vickland, LMTVirginia Beach, VA 234541174188478
  8. Charles Brown, M.D.Chesapeake, VA 233201740283191

Common questions

What is Sebastian J. Ksionski, MD's NPI number?

Sebastian J. Ksionski, MD's National Provider Identifier (NPI) is 1033120852, issued on Aug 10, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sebastian J. Ksionski, MD located?

The NPPES record lists a practice address at 1330 Oak LN, Lynchburg, VA, 24503. Phone: (434) 200-4175. Providers update this record themselves, so call before visiting.

How can I verify Sebastian J. Ksionski, MD's license?

NPPES lists Virginia license number 0101268046, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sebastian J. Ksionski, MD prescribe under Medicare Part D?

In 2024, Sebastian J. Ksionski, MD had 5,555 Medicare Part D claims for 616 beneficiaries; the average among pain medicine physician prescribers was 2,095. Part D covers Medicare prescriptions only.

What is Sebastian J. Ksionski, 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.