SEAN T URQUHART MD NPI 1013090836
Obstetrics & Gynecology in Lewiston, ID

About SEAN T URQUHART MD

Sean Urquhart is a women's health care provider established in Lewiston, Idaho and his medical specialization is Obstetrics & Gynecology with more than 32 years of experience. He graduated from Medical College Of Wisconsin in 1991. The NPI number of Sean Urquhart is 1013090836 and was assigned on October 2006. The practitioner's primary taxonomy code is 207V00000X with license number M7348 (ID). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1013090836
Provider Name SEAN T URQUHART MD
Location Address2315 8TH ST LEWISTON, ID 83501
Location Phone(208) 746-1383
Mailing Address2315 8TH ST LEWISTON, ID 83501
GenderMale
NPI Entity TypeIndividual
Medical School NameMEDICAL COLLEGE OF WISCONSIN
Graduation Year1991
Is Sole Proprietor?No
Enumeration Date10-23-2006
Last Update Date03-07-2016

Women's health care providers like Sean T Urquhart Md treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.Sean Urquhart is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Sean Urquhart is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.29 for a new patient copayment and $17.01 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.M7348
License StateID
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

SEAN T URQUHART MD
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1383
Fax: (208) 746-6348

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Mailing Address

SEAN T URQUHART MD
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1383
Fax: (208) 746-6348


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7517048945
PECOS Enrollment IDI20100809000783
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 83501 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$53.93 $165.44 $125.19
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.48 $41.36 $31.29
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.64 $135.44 $68.04
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.16 $33.86 $17.01

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMD000333237WANo

Taxonomy Description: an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1013090836OTHER (01)IDREGENCE BLUESHIELD
G18235MEDICARE UPIN (02)ID
1013090836MEDICAID (05)ID
AB38309MEDICARE PIN (08)WA
53744OTHER (01)IDBLUE CROSS
P00025632MEDICARE PIN (08)
0170479OTHER (01)WAWA LABOR & INDUSTRIES
1000326MEDICAID (05)WA
1110166MEDICARE PIN (08)ID

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013090836
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202309086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 0 + 8 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013090836 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538242318 JOHN W CARLISLE MD
Individual
Dermatology2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1992888705 DAVID A SPENCER MD
Individual
Surgery2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1184707903 SHERRY D STOUTIN MD
Individual
General Practice2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1609937465 TODD KOLB RPH
Individual
Pharmacist2315 8TH ST
LEWISTON, ID 83501
(208) 750-1444
1063415404DR. CHRISTINE C SCHALLER MD
Individual
Family Medicine2315 8TH ST
LEWISTON, ID 83501
(208) 983-5120
1568458701DR. SCOTT ALLAN GARDNER M.D.
Individual
Surgery2315 8TH ST
LEWISTON, ID 83501
(208) 298-9030
1710081450DR. GENEEN E BIGSBY DO
Individual
Obstetrics & Gynecology2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1629329537 STEPHANIE MARGARET CARPENTER PMHNP-C
Individual
Nurse Practitioner (Psychiatric/Mental Health)2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1144262098DR. DARBY S JUSTIS MD
Individual
Pediatrics2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1780679068MR. ANDREW J SCHUG PAC
Individual
Physician Assistant2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1386677722 CHERYL A MALLORY MD
Individual
Family Medicine2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1487630968DR. STEPHEN K KRONHOLM MD
Individual
Urology2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1619050424 DAVID A PETERSEN MD
Individual
Family Medicine2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1780659920DR. ALEX BENTON WATSON MD
Individual
Obstetrics & Gynecology2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1780653097 BARBARA ROSE ARNZEN PAC
Individual
Physician Assistant2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1932159258DR. MELANIE T EGGLESTON MD
Individual
Internal Medicine2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1376592758DR. TIMOTHY J. DYKSTRA DO
Individual
Internal Medicine2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1003861626 NATALE CARASALI MD
Individual
Pediatrics2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1629024179DR. CRAIG N. AMBROSON MD
Individual
Pediatrics2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383
1972694438 FRANCES A HEDRICK MD
Individual
Family Medicine2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383

Frequently Asked Questions

What is Sean Urquhart MD NPI number?

The NPI number assigned to Sean Urquhart MD is 1013090836, registered as an "individual" on October 23, 2006

Where is Sean Urquhart MD located?

The provider is located at 2315 8th St Lewiston, Id 83501 and the phone number is (208) 746-1383

Which is Sean Urquhart MD specialty?

The provider's speciality is Obstetrics & Gynecology

How many years of experience does Sean Urquhart MD have?

The provider has more than 32 years of experience. He graduated from Medical College Of Wisconsin in 1991.

What insurance does Sean Urquhart MD accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Sean Urquhart MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Sean Urquhart MD?

Medicare beneficiaries should expect a typical cost of $125.19 with an average copayment of $31.29 for new patient appointments. Established patients should expect a typical charge of $68.04 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Sean Urquhart MD was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]