DR. CARLOS ANTONIO SESIN (M.D.) – Rheumatology Physician, NPI 1659304707
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
449 RHEUMATOLOGY in FL
Provider Addresses for DR. CARLOS ANTONIO SESIN (M.D.)
1801 Ponce De Leon Blvd
Coral Gables, FL 331344418
Phone: (305) 531-6766
Fax: (305) 531-6712
Type: Location
4302, Alton Road, Miami Beach, Miami-Dade County, Florida, 33140, United States
SUITE 550
MIAMI BEACH, FL 331402891
Phone: (305) 531-6766
Fax: (305) 531-6712
Type: Mailing
1801 PONCE DE LEON BLVD
CORAL GABLES, FL 331344418
Phone: (305) 531-6766
Fax: (305) 531-6712
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 498 Open Payments records for all available years, with a total value of $103,513.
Total Amount is formed as General ($99,082) + Research ($4,431) + Ownership ($0) = $103,513.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($35,744).
Total Amount
$103,513
General + Research + Ownership
Payments
498
Total payment records
General Amount
$99,082
General payments
Research Amount
$4,431
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $35,744 |
| Lilly USA, LLC | $18,857 |
| Amgen Inc. | $15,201 |
| GENZYME CORPORATION | $7,810 |
| Novartis Pharmaceuticals Corporation | $6,928 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040714000575 | I | Rheumatology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 33,600 | 11 | $0 |
| J0897 | Injection, denosumab, 1 mg | 23,400 | 238 | $0 |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 17,010 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 856 | 521 | $0 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 765 | 268 | $0 |
Insurance plans in this area (ZIP 33134)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 242 | 74 |
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