NPI registry status
Active
2026 NPPES data Infectious Disease Physician NPI 1811569882 MD
Verify on CMS → Sebastian Sanchez, MD
Infectious Disease Physician in Iowa City, Iowa.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,292 in Infectious Disease 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
443
Medicare Part D claims · 42 beneficiaries · Infectious Disease Physician avg: 816
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sebastian Sanchez, MD filed 443 Medicare Part D claims in 2023 as a Infectious Disease Physician in Iowa City, Iowa, prescribing 80% generic.
- 443
- Part D claims, 2023
- 80%
- generic prescribing
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.
Sebastian Sanchez, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
443 Top 38% higher than 62% of 1,370,886 prescribers
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-eligible specialty (heuristic, not verified)
Sebastian Sanchez, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Sebastian Sanchez, MD?
Quality data not reportedPrimary specialty
Infectious Disease Physician
Medicare Part D claims
443 46% vs specialty avg
Specialty distribution in Iowa
How Infectious Disease Physician compares to other specialties among Iowa providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Infectious Disease Physician. Verify directly:
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).
Sebastian Sanchez, MD appears in the CMS NPPES registry as a Infectious Disease Physician provider holding MD credentials at 200 HAWKINS DR, Iowa City, IA, 52242, with a listed phone of (319) 356-8133. NPI 1811569882 was issued on 07/10/2021.
Medicare Part D records for calendar year 2023 show 443 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $178K in drug spend, split 20% brand-name and 80% generic by claim count, with an opioid prescribing rate of 4.5%.
Infectious Disease Physician is a mid-sized specialty nationwide, with 8,292 enrolled providers across 54 states and an average of 816 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 | 1811569882 |
|---|---|
| Specialty | Infectious Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/10/2021 |
Brand vs generic prescribing mix · Typical
Sebastian Sanchez, MD - brand share 20.0%
Infectious Disease Physician average
20% brand-name claims vs 80% generic, on 443 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.
443
Total Claims
$178K
Total Drug Cost
42
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 748
- Total Day Supply
- 22,022
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $170K
- Generic Drug Cost
- $9K
- Opioid Claims
- 20 (4.5% rate)
Patient Demographics
- Average Patient Age
- 66.0 years
- Avg HCC Risk Score
- 3.30
- Gender Split
- 45% female / 55% male
- Age Distribution
- <65: 16, 65-74: 16, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sebastian Sanchez, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Carvedilol
Carvedilol
39 claims
- Amlodipine Besylate
Amlodipine Besylate
27 claims
- Atorvastatin Calcium
Atorvastatin Calcium
20 claims
- Metformin Hcl
Metformin Hcl
20 claims
- Biktarvy
Biktarvy
18 claims
- Losartan Potassium
Losartan Potassium
18 claims
- Gabapentin
Gabapentin
16 claims
- Lisinopril 15
Lisinopril
15 claims
| Drug | Claims |
|---|---|
| Carvedilol | 39 |
| Amlodipine Besylate | 27 |
| Atorvastatin Calcium | 20 |
| Metformin Hcl | 20 |
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 18 |
| Losartan Potassium | 18 |
| Gabapentin | 16 |
| Lisinopril | 15 |
| Furosemide | 14 |
| Dovato Dolutegravir Sodium/Lamivudine | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Infectious Disease Physician Overview
How Sebastian Sanchez, MD fits within the Infectious Disease Physician landscape nationally.
8,292
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider
Sebastian Sanchez, MD's 443 claims are below the specialty average of 816.
Nearby Infectious Disease Physician Providers in Iowa
Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Sanchez.
Dr. Ahmed Abualfoul
MD
Cedar Rapids, IA
Dr. Sadia Ali
M.D.
Waterloo, IA
Dr. Richard Burger
M.D.
Centerville, IA
Dr. Honorio Caceres
M.D.
Dubuque, IA
Dr. Michael Corbett
MD
Iowa City, IA
Compare Infectious Disease Physician nationally: see state-by-state distribution →
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 Iowa medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Infectious Disease 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 Sebastian Sanchez, MD's specialty? ▼
Sebastian Sanchez, MD specializes in Infectious Disease Physician and practices in Iowa City, Iowa. Credentials: MD.
How much does Sebastian Sanchez, MD prescribe under Medicare Part D? ▼
In 2023, Sebastian Sanchez, MD wrote 443 Medicare Part D claims totaling $178K in drug costs for 42 beneficiaries.
Where is Sebastian Sanchez, MD located? ▼
Sebastian Sanchez, MD is located at 200 HAWKINS DR, Iowa City, IA, 52242. Phone: (319) 356-8133.
What is Sebastian Sanchez, MD's NPI number? ▼
Sebastian Sanchez, MD's National Provider Identifier (NPI) is 1811569882, issued on 07/10/2021.
Does Sebastian Sanchez, MD prescribe more brand-name or generic drugs? ▼
Sebastian Sanchez, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $170K in brand drug costs.
Does Sebastian Sanchez, MD prescribe opioids? ▼
Yes, Sebastian Sanchez, MD had 20 opioid claims in 2023 with an opioid prescribing rate of 4.5%.
How many Infectious Disease Physician providers are there in the US? ▼
There are 8,292 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does Sebastian Sanchez, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sebastian Sanchez, MD's most frequently prescribed drugs include Carvedilol, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sebastian Sanchez, MD accept Medicare? ▼
Sebastian Sanchez, MD appears in CMS Medicare data with 443 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sebastian Sanchez, MD's credentials? ▼
Sebastian Sanchez, MD's NPI is 1811569882 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
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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.