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DR. SEAN M MCWILLIAMS MD
NPI 1003854803
Otolaryngology in Destin, FL

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
7720 US HIGHWAY 98 W, 370, DESTIN, FL 32550(850) 622-5148(850) 622-5149 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sean M Mcwilliams Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEAN M MCWILLIAMS MD (NPI 1003854803) is an individual otolaryngology provider in Destin, Florida, licensed in Florida (ME90138) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Tulane University School Of Medicine (1999).

NPPES Registry Identity

NPI1003854803
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SEAN M MCWILLIAMSCredential: MD
Location Address7720 US HIGHWAY 98 W, 370Destin, FL 32550-7230
Mailing AddressPo Box 2699Pensacola, FL 32513-2699
Phone(850) 622-5148
Fax(850) 622-5149
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1999
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 21, 2014
✔ NPI 1003854803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in FL · ME90138
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

7720 US HIGHWAY 98 W, Destin, FL 32550
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Other Identifiers 3

Medicare UPINH61774FL
Medicaid2700786000FL
Medicare ID-Type Unspecified43149ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sean M Mcwilliams Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173586583
PECOS Enrollment IDI20041108000079
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
687 services341 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
651 services320 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
574 services297 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services63 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
67 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
61%272 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
55%176 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
62%542 patients3/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,389 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
26%795 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%349 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%1,344 patients5/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,344 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%1,344 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%1,344 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers11 claims930 services$0.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EKATERINA PAGE
Physician Assistant
7720 US HIGHWAY 98 W, STE 110
MIRAMAR BEACH, FL 32550
Walton County (850) 267-1603
MARINELLA FLAMINIA MONK M.D.
Physical Medicine & Rehabilitation
7720 US HIGHWAY 98 W, SUITE 300
DESTIN, FL 32550
Walton County (850) 622-9120
DR. STEPHEN R PHLAUM MD
Internal Medicine (Cardiovascular Disease)
7720 US HIGHWAY 98 W, 350
DESTIN, FL 32550
Walton County (850) 267-1603
DR. CHRISTINA JOHANNA MORELOCK M.D.
Hospitalist
7720 US HIGHWAY 98 W, SUITE 100
MIRAMAR BEACH, FL 32550
Walton County (850) 267-1603
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
Dermatology
7720 US HIGHWAY 98 W, SUITE 340
MIRAMAR BEACH, FL 32550
Walton County (251) 631-3570
AARON TODD CREEK MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
7720 US HIGHWAY 98 W
MIRAMAR BEACH, FL 32550
Walton County (850) 290-2154
MARGARET HELEN TURK RUSSELL APRN
Nurse Practitioner
7720 US HIGHWAY 98 W, STE 110
MIRAMAR BEACH, FL 32550
Walton County (850) 267-1603
TAMI ELIZABETH HUSTON OT
Occupational Therapist
7720 US HIGHWAY 98 W
DESTIN, FL 32550
Walton County (850) 622-5192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Mcwilliams's NPI number?

The NPI number for Sean Mcwilliams is 1003854803. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Sean Mcwilliams located?

Sean Mcwilliams practices at 7720 Us Highway 98 W 370, Destin, FL 32550. The listed phone number is (850) 622-5148.

What is Sean Mcwilliams's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sean Mcwilliams enrolled in Medicare?

Yes. Sean Mcwilliams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sean Mcwilliams accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Sean Mcwilliams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sean Mcwilliams affiliated with any hospitals?

According to CMS data, Sean Mcwilliams is affiliated with Sacred Heart Hospital, Hca Florida Twin Cities Hospital and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Sean Mcwilliams was last updated on February 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.