Fred Gregory Sebastian , PA-C
Physician Assistant • Lubbock, TX
3506 21st St, Suite 507
Lubbock, TX 794101212
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Fred Sebastian is listed in NPPES under Physician Assistant.
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NPI assigned on November 7, 2016; this date does not establish years in practice.
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Published CMS data list 195 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Acetaminophen-Codeine (Acetaminophen With Codeine) — 96 prescription fills, including refills.
- Tramadol Hcl — 51 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 20 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Physician Assistant in Lubbock, TX (2024, 59 clinicians with data). Median for this group: 195. Middle half: 55 to 838.
Close to the middle for Part D prescriptions among clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 69 in 2020 to 195 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
3506 21st St
Suite 507
Lubbock, TX 794101212
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Covenant Medical Group. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
199 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,855 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $195.65 across 9 records.
By nature of payment
- Food and Beverage: $195.65 across 9 records.
Reporting-company totals (3 largest of 6)
- Orthofix Medical, Inc.: $49.49 across 3 records.
- Solventum Corporation: $33.73 across 2 records.
- Bioventus LLC: $33.31 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Fred Sebastian has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Fred Sebastian as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lubbock and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Lubbock, TX (2024, 59 clinicians with data). Median for this group: 195. Middle half: 55 to 838.
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Lubbock, TX (2024, 59 clinicians with data). Median for this group: $4,045. Middle half: $620 to $120,870.
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
111 active clinicians are listed under Physician Assistant with a practice address in Lubbock, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lubbock
3.6% of these 111 clinicians have the CMS telehealth indicator.
56.8% of these 111 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 183% from 69 in 2020 to 195 in 2024.
- 2020: 69
- 2021: 83
- 2022: 103
- 2023: 217
- 2024: 195
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30-day fills
30-day fills increased 178% from 72 in 2020 to 199 in 2024.
- 2020: 72
- 2021: 85
- 2022: 104
- 2023: 227
- 2024: 199
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Part D drug cost
Part D drug cost decreased 40% from $3,098 in 2020 to $1,855 in 2024.
- 2020: $3,098
- 2021: $692
- 2022: $914
- 2023: $4,566
- 2024: $1,855
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $14.95 in 2021 to $195.65 in 2025.
- 2021: $14.95
- 2022: $48.72
- 2024: $117.97
- 2025: $195.65
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $195.65.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Bioventus LLC |
Food and Beverage
In-kind items and services
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EXOGEN ULTRASOUND BONE HEALING SYSTEM | General | $33.31 |
| AXOGEN |
Food and Beverage
In-kind items and services
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— | General | $30.01 |
| Orthofix Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Physio-Stim | General | $28.95 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
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PURAPLY WOUND MATRIX | General | $24.73 |
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
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— | General | $24.38 |
| Solventum Corporation |
Food and Beverage
Cash or cash equivalent
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PREVENA | General | $16.94 |
| Solventum Corporation |
Food and Beverage
Cash or cash equivalent
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PREVENA | General | $16.79 |
| Orthofix Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Physio-Stim | General | $14.24 |
| Orthofix Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Physio-Stim | General | $6.30 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Acetaminophen-Codeine | Acetaminophen With Codeine | 96 | 817 | $1,228.41 | 74 |
| Tramadol Hcl | Tramadol Hcl | 51 | 517 | $215.59 | 43 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 20 | 158 | $189.11 | 20 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | 220 | $100.84 | 13 |
| Gabapentin | Gabapentin | 13 | 510 | $121.26 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20161215001758
TX
6204116999
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Covenant Medical Group
5009 College Ave, Snyder, TX 795496109
Phone: 9155731300
Covenant Medical Group
2215 Nashville Ave, Lubbock, TX 794101105
Phone: 8067255844
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Acute Care
Nurse Practitioner
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
ACNPCAG
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Orthopaedic Trauma
Doctor of Medicine (M.D.)
Physician Assistant
Career & Practice History
NPI enumerated November 07, 2016.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Lubbock
- Robert Portwood, PA-C
- Micheal Reddell, PA
- Megan Green, PA
- Brandi Bulls, PA
- Jamie Fletcher, PA-C
- Jessica Leist, PA-C
Mailing Address
3506 21st St, Suite 507
Lubbock, TX 794101212
Phone: 8067254805