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DR. ANDREW BENNETT SEWELL M.D.
NPI 1023334919
Otolaryngology - Plastic Surgery within the Head & Neck in Saint Clair Shores, MI

Active since April 16, 2010PECOS EnrolledAccepts Medicare Assignment
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610(586) 779-0031 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2020, Nov 24, 2020 (2 updates tracked since 2020).

About Dr. Andrew Bennett Sewell M.d. NPPES

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

DR. ANDREW BENNETT SEWELL M.D. (NPI 1023334919) is an individual plastic surgery within the head & neck provider in Saint Clair Shores, Michigan, licensed in Michigan (4301503576) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2010).

NPPES Registry Identity

NPI1023334919
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. ANDREW BENNETT SEWELLCredential: M.D.
Location Address21000 E 12 MILE RD STE 111Saint Clair Shores, MI 48081-1156
Mailing Address21000 E 12 Mile Rd Ste 111Saint Clair Shores, MI 48081-1156 · (586) 779-7610 · Fax (586) 779-0031
Phone(586) 779-7610
Fax(586) 779-0031
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2010
Enumeration DateApril 16, 2010
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1023334919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in MI · 4301503576
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 4301503576 (MI)
21000 E 12 MILE RD STE 111, Saint Clair Shores, MI 48081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Bennett Sewell M.d. 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 ID244405579
PECOS Enrollment IDI20240425003468, I20240430004005
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Sewell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guthrie Medical Group, P.C.
294 mi
Family Medicine
110 PLAZA LN
Wellsboro, PA 16901
  • Reassigned Medicare billing, Pennsylvania and New York enrollments
  • Medicare enrollment name: Guthrie Medical Group PC
  • Also billed through NPI 1134178635 (New York)
  • 830 clinicians in this Medicare group
NPI 1952350167 (570) 724-4241

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
85 services61 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
67 services56 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.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

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.

Jaw motion rehabilitation system E1700
DME-Other DME · category DE000N
1 supplier11 claims11 services$23.18 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 15

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

OLIVIA KATHERINE LANGSDORF
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
RYAN MICHAEL BENNINGER AU.D., CCC-A
Audiologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
PATRICK BEASLEY
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
ADAM CRAIG FRY
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
TAYLOR DARDEN
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (267) 403-9375
CHARLES NUDELMAN
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (224) 545-2641
ANNE MAYNARD
Audiologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
MS. MIRA J BROOKS AU.D. CCC-A
Audiologist-Hearing Aid Fitter
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-2400

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 Andrew Sewell's NPI number?

The NPI number for Andrew Sewell is 1023334919. It was assigned to this individual provider in the NPPES registry on April 16, 2010.

Where is Andrew Sewell located?

Andrew Sewell practices at 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Andrew Sewell's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Andrew Sewell enrolled in Medicare?

Yes. Andrew Sewell 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.

Which organization bills Medicare for Andrew Sewell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Sewell reassigns Medicare benefits to Guthrie Medical Group, P.C. (Wellsboro, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Sewell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Sewell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Cigna Healthcare list Andrew Sewell 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 Andrew Sewell affiliated with any hospitals?

According to CMS data, Andrew Sewell is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Guthrie Cortland Regional Medical Center, Corning Hospital and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Sewell was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.