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Pamela Ann A Sebastian, MD

Internal Medicine · San Jose

NPI 1922311505

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
2 carriers
Offices
2

Offices

2 locations · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: 055318. That is not proof they admit you there this week.

Plans that list them

3 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sebastian’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

3 of 3 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A155844 · Current

Licensed to practise in California · since 2018 · expires 2028-04-30 · National University of Singapore, Yong Loo Lin School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$2,342 in 2022

Medicaid paid $2,342 for 36 billed services this clinician did in 2022, up to 13 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2022
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES36$2,342
Medicaid work by year
202236113$2,342
202130216$8,403
2019132418$9,646
201815115$2,701
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive17$8,403
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES13$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive48$8,643
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES31$463
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES36$408
SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES17$131

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive15$2,701

Drugs they prescribed that Part D paid

$14,673

Pharmacies billed $14,673 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 184) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

134 generic and fewer than 11 brand-name prescriptions · $14,673 in drug cost · 20 antibiotic prescriptions.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Jardiance20$6,105$305
Divalproex11$1,718$156
Atorvastatin12$279$23
Amlodipine Besylate12$211$18

Year by year

Part D prescribing by year
2024184None0% (0)None$14,673
2023263160% (0)None$18,009
202231917NoneNone$13,415
202159922NoneNone$38,063
2020542284% (22)None$39,331
2019269675% (14)None$25,429
201879430% (0)None$4,559
201530526None8%$10,250
201430937None11%$9,067
201313914None14%$6,636

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Jardiance18$5,070$282
Levetiracetam12$787$66
Olanzapine15$708$47
Tamsulosin13$526$40
Atorvastatin20$428$21
Levothyroxine13$143$11
Amlodipine Besylate11$126$11
Trazodone13$100$8

2022: 9 drugs

Part D drugs prescribed in 2022
Xarelto18$4,445$247
Diclofenac14$817$58
Potassium Chloride11$645$59
Tamsulosin18$640$36
Levothyroxine38$449$12
Baclofen13$311$24
Atorvastatin16$222$14
Lactulose12$187$16
Amlodipine Besylate24$176$7

2021: 19 drugs

Part D drugs prescribed in 2021
Trulicity16$6,341$396
Xarelto24$5,847$244
Tamsulosin50$2,289$46
Novolog Flexpen12$1,481$123
Carbamazepine13$1,135$87
Diclofenac22$954$43
Levothyroxine73$913$13
Olanzapine21$886$42
Divalproex20$803$40
Potassium Chloride11$775$70
Duloxetine12$714$59
Omeprazole27$564$21
Quetiapine14$341$24
Gabapentin20$278$14
Atorvastatin12$273$23
Baclofen11$230$21
Tamoxifen Citrate12$206$17
Lactulose11$193$18
Metformin12$171$14

2020: 17 drugs

Part D drugs prescribed in 2020
Xarelto26$6,189$238
Renvela11$4,047$368
Novolog11$3,445$313
Novolog Flexpen11$1,362$124
Levetiracetam29$1,210$42
Tamsulosin12$986$82
Atorvastatin48$790$16
Pregabalin13$773$59
Pantoprazole16$371$23
Risperidone25$335$13
Baclofen13$315$24
Latanoprost14$308$22
Quetiapine12$292$24
Omeprazole13$226$17
Gabapentin13$137$11
Amiodarone12$124$10
Metoprolol14$109$8

2019: 1 drug

Part D drugs prescribed in 2019
Amlodipine Besylate12$83$7

2015: 9 drugs

Part D drugs prescribed in 2015
Pravastatin30$663$22
Felodipine Er15$477$32
Lisinopril42$224$5
Atorvastatin13$168$13
Allopurinol22$165$8
Metoprolol21$110$5
Amlodipine Besylate24$92$4
Metformin17$71$4
Atenolol14$54$4

2014: 8 drugs

Part D drugs prescribed in 2014
Pravastatin28$557$20
Lisinopril44$263$6
Atorvastatin19$263$14
Allopurinol26$164$6
Metformin21$147$7
Amlodipine Besylate19$85$4
Glipizide14$81$6
Atenolol15$49$3

2013: 1 drug

Part D drugs prescribed in 2013
Lisinopril15$74$5

Professional record

NPI
1922311505
Licence
CA A155844California A155844: Current · expires 2028-04-30
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RG0300X (207RG0300X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2010-07-23
NPI last updated
2018-08-28

This is when the NPI record was last certified, not a medical board exam.