MR. FRED GREGORY IV SEBASTIAN (PA-C) – Physician Assistant, NPI 1134661358

MR. FRED GREGORY IV SEBASTIAN (PA-C) is a healthcare provider. based in Lubbock, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10903 (TX). The NPI Number for MR. FRED GREGORY IV SEBASTIAN (PA-C) is 1134661358

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. FRED GREGORY IV SEBASTIAN (PA-C)
NPI
1134661358
Phone
(806) 725-4805
Address
3506 21ST ST
Enumeration Date
7 November 2016
Last Update Date
7 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9155731300
Graduation Year
2016 (10 years ago)
PAC ID
6204116999
Group Practice PAC ID
6901889393
Professional Enrollment ID
I20161215001758
Address ID
TX795496109SN5009XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MR. FRED GREGORY IV SEBASTIAN (PA-C)

  • 3506, 21st Street, Lubbock, Lubbock County, Texas, 79410, United States

    SUITE 507

    LUBBOCK, TX 794101212

    Phone: (806) 725-4805

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Globus Medical, Inc. ($63).

Total Amount

$118

General + Research + Ownership

Payments

3

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161215001758IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901889393View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MR. FRED GREGORY IV SEBASTIAN (PA-C) in the U.S.?
In the U.S., MR. FRED GREGORY IV SEBASTIAN (PA-C) is identified by NPI 1134661358.
Quick check: is MR. FRED GREGORY IV SEBASTIAN (PA-C) active?
Public NPPES data shows MR. FRED GREGORY IV SEBASTIAN (PA-C) with an active NPI status right now.
Which specialty label fits MR. FRED GREGORY IV SEBASTIAN (PA-C)?
NPPES ties MR. FRED GREGORY IV SEBASTIAN (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. FRED GREGORY IV SEBASTIAN (PA-C)?
The directory associates MR. FRED GREGORY IV SEBASTIAN (PA-C) with Lubbock, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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