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MR. SEAN PUMPHREY MSW, LCSW
NPI 1013072511
Social Worker - Clinical in Greenville, NC

Active since December 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
1204 E FIRE TOWER RD, GREENVILLE, NC 27858(252) 744-1122(252) 744-1133 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Sean Pumphrey Msw, Lcsw NPPES

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

MR. SEAN PUMPHREY MSW, LCSW (NPI 1013072511) is an individual clinical provider in Greenville, North Carolina, licensed in North Carolina (C002985) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1013072511
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SEAN PUMPHREYCredential: MSW, LCSW
Location Address1204 E FIRE TOWER RDGreenville, NC 27858-4196
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 744-1122
Fax(252) 744-1133
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 26, 2006
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1013072511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C002985
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1204 E FIRE TOWER RD, Greenville, NC 27858
Open in Google Maps ↗

Other Identifiers 3

Medicaid6002359NC
Other11278NC · Bcbs Provider Number
Other562165173Fed Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Mr. Sean Pumphrey Msw, Lcsw 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 ID7214825736
PECOS Enrollment IDI20040308000205
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

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
49 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27858 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

DR. CELESTE T. JACKSON M.D.
Family Medicine
1204 E FIRE TOWER RD
GREENVILLE, NC 27858
Pitt County (252) 744-1122
DR. SEAN CARL VIDULICH DO
Family Medicine
1204 E FIRE TOWER RD
GREENVILLE, NC 27858
Pitt County (252) 744-1122
DR. AUDIE C FLORIDA MD
Family Medicine
1204 E FIRE TOWER RD
GREENVILLE, NC 27858
Pitt County (252) 744-1122
MARISSA F KLEFFMAN UNDERWOOD ARNP
Nurse Practitioner (Family)
1204 E FIRE TOWER RD
GREENVILLE, NC 27858
Pitt County (252) 744-1122
DR. JOHN PATRICK MCGEE M.D.
Family Medicine
1204 E FIRE TOWER RD
GREENVILLE, NC 27858
Pitt County (252) 744-1122
DR. KELLY W PHILPOT MD
Family Medicine
1204 E FIRE TOWER RD
GREENVILLE, NC 27858
Pitt County (252) 744-1122
DR. THOMAS JOSEPH ELLIS MD
Family Medicine
1204 E FIRE TOWER RD, ECU PHYSICIANS FAMILY MEDICINE FIRETOWER MEDICAL OFFICE
GREENVILLE, NC 27858
Pitt County (252) 744-1122
DR. QING CAO M.D.
Family Medicine
1204 E FIRE TOWER RD, ECU PHYSICIANS FAMILY MEDICINE FIRETOWER MEDICAL OFFICE
GREENVILLE, NC 27858
Pitt County (252) 744-1122

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 Pumphrey's NPI number?

The NPI number for Sean Pumphrey is 1013072511. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Sean Pumphrey located?

Sean Pumphrey practices at 1204 E Fire Tower Rd, Greenville, NC 27858. The listed phone number is (252) 744-1122.

What is Sean Pumphrey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sean Pumphrey enrolled in Medicare?

Yes. Sean Pumphrey 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 Pumphrey accept?

Health plans from Blue Cross and Blue Shield of NC list Sean Pumphrey 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.

When was this NPI record last updated?

The NPPES record for Sean Pumphrey was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.