SEAN MLODZINSKI
NPI 1013362219
Emergency Medicine in Lynchburg, VA

Q: What is Sean Mlodzinski's NPI number?

The NPI number for Sean Mlodzinski is 1013362219. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Q: What is Sean Mlodzinski's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Mlodzinski was last updated on June 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 26, 2016PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

1901 TATE SPRINGS RD, LYNCHBURG, VA 24501(434) 200-3000 Get Directions Write a Review

NPPES record last updated: June 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sean Mlodzinski NPPES

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

SEAN MLODZINSKI (NPI 1013362219) is an individual emergency medicine provider in Lynchburg, Virginia, licensed in Virginia (0101265616) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of University Of Virginia School Of Medicine (2016).

NPPES Registry Identity

NPI1013362219

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSEAN MLODZINSKI

Location Address1901 TATE SPRINGS RDLynchburg, VA 24501-1109

Mailing Address1431 Cedar Creek LnLynchburg, VA 24503-4915 · (540) 541-8700

Phone(434) 200-3000

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2016

Enumeration DateApril 26, 2016

Last NPPES UpdateJune 29, 2019

✔ NPI 1013362219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in VA · 0101265616

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1901 TATE SPRINGS RD, Lynchburg, VA 24501

Open in Google Maps ↗

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

Sean Mlodzinski 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 ID4587958053

PECOS Enrollment IDI20190201001462

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

206 services198 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

123 services116 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

21 services21 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County

Emergency services Birthing friendly

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490090

Location800 Oak StreetFarmville, VA 23901 · Prince Edward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

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.

94.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.44

Promoting Interoperability

Improvement Activities

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.

VICTOR RAFAEL DELGADO LAZO MD

Internal Medicine (Hematology & Oncology)