# Carlos A Sesin, MD

Source: https://ourhealthnetwork.com/doctor/carlos-sesin-md-1659304707
NPI: 1659304707
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Carlos A Sesin, MD is a rheumatology based in Miami Beach, FL with NPI 1659304707 and offers telehealth visits.

## Profile

- Primary specialty: Rheumatology
- Credential: MD
- Gender: Male
- Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
- Graduation year: 1999
- Telehealth: Yes
- NPI: 1659304707 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1659304707))

## Practice and contact

- Address: 4302 Alton Rd, Suite 810, Miami Beach, FL, 331402893
- Phone: (305) 531-6766

## CMS quality measures (MIPS)

- Overall MIPS final score: 75.00/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (7 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 23 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 13 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 7 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 6 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 4 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Carlos A Sesin, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1659304707).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 208 disclosed payments from medical industry sources totaling approximately $43,339.

Largest disclosed payer: Janssen Biotech, Inc. ($21,440 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Rheumatology doctors in MIAMI BEACH, FL](https://ourhealthnetwork.com/rheumatology/fl/miami-beach)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1659304707)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)