Theodore Sebastien, MD
MOHS-Micrographic Surgery · Reston, VANPI 1568433860
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 16 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Merz North America, Inc. at 37.1% of the total. Reporting peaked in 2023 at $235 and has fallen 86.5% since, to $32 in 2025. That places this record below the midpoint for mohs-micrographic surgery clinicians in VA, where the typical reported total is $1,276.
Across 16 payments — averaging $32.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$195
- Galderma Laboratories, L.p.$115
- Strata Skin Sciences, Inc.$43
- Journey Medical Corporation$39
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$28
- Regeneron Healthcare Solutions, Inc.$17
- plus $88 from 6 others
What the payments were for
- Food & beverage$525100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Merz North America, Inc. | 2 | $195 |
| Galderma Laboratories, L.p. | 2 | $115 |
| Strata Skin Sciences, Inc. | 1 | $43 |
| Journey Medical Corporation | 2 | $39 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $28 |
| Regeneron Healthcare Solutions, Inc. | 1 | $17 |
| Johnson & Johnson | 1 | $17 |
| Almirall LLC | 1 | $15 |
| Sun Pharmaceutical Industries Inc. | 1 | $15 |
| Lilly USA, LLC | 1 | $14 |
| UCB, Inc. | 1 | $13 |
| VYNE Pharmaceuticals Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$525 in reported general payments places this provider in the 30th percentile of 36 mohs-micrographic surgery providers in Virginia.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Doxycycline Ir-DrDoxycycline Monohydrate | 18 | $11,186 |
| Ivermectin | 20 | $5,354 |
| Fluorouracil | 74 | $4,606 |
| Clindamycin Phosphate | 27 | $3,554 |
| Doxycycline Hyclate | 124 | $1,997 |
| ValacyclovirValacyclovir Hcl | 19 | $1,415 |
| Ketoconazole | 94 | $1,289 |
| Desonide | 17 | $1,130 |
| Triamcinolone Acetonide | 93 | $920 |
| Metronidazole | 19 | $905 |
| Minoxidil | 43 | $887 |
| Mupirocin | 111 | $886 |
| Finasteride | 32 | $642 |
| Imiquimod | 17 | $628 |
| Hydrocortisone | 46 | $561 |
Paid to pharmacies, not to this prescriber.
Other mohs-micrographic surgery in Reston
- Brian JohnsonNorfolk$16K
- Sherry MaraghAshburn$12K
- Kristin BibeeCharlottesville$11K
- Kenneth NealArlington$9K
- James BotaNorfolk$9K
- Brian JohnsonNorfolk$5K
- Matthew WallaceRichmond$4K
- Soonyou KwonVienna$4K
- Amir BajoghliMc Lean$4K
- Jeffrey ScottFairfax$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.