Mario Sebastianelli, MD
NPI 1972501872 · Nephrology Physician · Dunmore, PA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Sebastianelli, MD is a Nephrology Physician provider in Dunmore, PA (NPI 1972501872).
Provider details
- NPI number
- 1972501872
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD0006983E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
242 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 111 | $75 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 74 | $121 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 36 | $171 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 21 | $164 |
Typical Medicare-allowed amounts for these services range $75–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Spironolactone | 202 | 38 |
| Amlodipine Besylate | 129 | 26 |
| Hydralazine Hcl | 86 | 11 |
| Calcitriol | 36 | — |
| Irbesartan | 34 | — |
| Lisinopril | 34 | — |
| Torsemide | 33 | — |
| Allopurinol | 31 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-13
- Last updated
- 2007-08-02
Frequently asked questions
- What is Mario Sebastianelli's NPI number?
- Mario Sebastianelli's National Provider Identifier (NPI) is 1972501872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Sebastianelli's specialty?
- Mario Sebastianelli is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Sebastianelli located?
- Mario Sebastianelli's practice location on file with NPPES is 1416 Monroe Ave, Dunmore, PA 18509-2477.
- What is Mario Sebastianelli's phone number?
- The practice phone number listed in the NPPES registry for Mario Sebastianelli is (570) 347-5212.
- Does Mario Sebastianelli accept Medicare?
- Mario Sebastianelli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Sebastianelli's NPI active?
- Yes — Mario Sebastianelli's NPI (1972501872) is active in the NPPES registry as of the last update on 2007-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.