Peter Sebeny, M.D.
NPI 1194704932 · Infectious Disease Physician · Newburyport, MA
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Sebeny, M.D. is a Infectious Disease Physician provider in Newburyport, MA (NPI 1194704932).
Provider details
- NPI number
- 1194704932
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 15813 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,328 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 569 | $78 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 204 | $129 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 118 | $170 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 96 | $117 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 80 | $65 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 44 |
| Doxycycline Hyclate | 18 |
| Ertapenem Sodiumbrand: Ertapenem | 18 |
| Elviteg/Cob/Emtri/Tenof Alafenbrand: Genvoya | 13 |
| Levofloxacin | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$56,984 across 71 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 44 Birch StSte 200Derry, NH 03038-2752Phone: (603) 421-9616Fax: (603) 421-2451
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2021-06-16
- Certified
- 2021-06-16
Frequently asked questions
- What is Peter Sebeny's NPI number?
- Peter Sebeny's National Provider Identifier (NPI) is 1194704932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Sebeny's specialty?
- Peter Sebeny is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Peter Sebeny located?
- Peter Sebeny's practice location on file with NPPES is 21 Highland Ave Ste 5, Newburyport, MA 01950-3873.
- What is Peter Sebeny's phone number?
- The practice phone number listed in the NPPES registry for Peter Sebeny is (978) 255-4886.
- Does Peter Sebeny accept Medicare?
- Peter Sebeny is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Sebeny's NPI active?
- Yes — Peter Sebeny's NPI (1194704932) is active in the NPPES registry as of the last update on 2021-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.