DR. SEAN A MARZOLF MD
NPI 1033472915
Dermatology in Lexington, KY

Active since June 16, 2012PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
250 FOUNTAIN CT, LEXINGTON, KY 40509(859) 263-4444(859) 263-6781 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2023, Jul 21, 2022, Jul 18, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Sean A Marzolf Md NPPES

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

DR. SEAN A MARZOLF MD (NPI 1033472915) is an individual dermatology provider in Lexington, Kentucky, licensed in Kentucky (51526) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2012).

NPPES Registry Identity

NPI1033472915
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. SEAN A MARZOLFCredential: MD
Location Address250 FOUNTAIN CTLexington, KY 40509-1888
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Fax(859) 263-6781
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2012
Enumeration DateJune 16, 2012
Last NPPES UpdateOctober 4, 20234 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1033472915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in KY · 51526 Licensed in IN · 01078453A Licensed in TX · Q8749
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 01078453A (IN), Q8749 (TX), 51526 (KY)
250 FOUNTAIN CT, Lexington, KY 40509

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 A Marzolf 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 ID648569418
PECOS Enrollment IDI20180522001121
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 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
457 services377 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
177 services136 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
160 services151 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
93 services77 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
46 services40 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
44 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

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.

Dermatology
250 FOUNTAIN CT
LEXINGTON, KY 40509
Clinic/Center (Ambulatory Surgical)
250 FOUNTAIN CT
LEXINGTON, KY 40509
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY 40509
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY 40509
Physician Assistant
250 FOUNTAIN CT
LEXINGTON, KY 40509
Clinical Medical Laboratory
250 FOUNTAIN CT
LEXINGTON, KY 40509
Physician Assistant
250 FOUNTAIN CT
LEXINGTON, KY 40509
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY 40509

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033472915, enumerated as an "individual" on June 16, 2012.

The provider is located at 250 FOUNTAIN CT LEXINGTON, KY 40509 and the phone number is (859) 263-4444.

Dermatology with taxonomy code 207N00000X.