DR. SEAN CARL VIDULICH DO
NPI 1053767749
Family Medicine in Greenville, NC

Q: What is Sean Vidulich's NPI number?

The NPI number for Sean Vidulich is 1053767749. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Q: What is Sean Vidulich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Vidulich was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 May 11, 2016PECOS EnrolledAccepts Medicare Assignment

1204 E FIRE TOWER RD, GREENVILLE, NC 27858(252) 744-1122(252) 744-1133 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2025, Sep 10, 2025, Apr 7, 2021 and 3 more (6 updates tracked since 2016).

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About Dr. Sean Carl Vidulich Do NPPES

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

DR. SEAN CARL VIDULICH DO (NPI 1053767749) is an individual family medicine provider in Greenville, North Carolina, licensed in North Carolina (2019-01617) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1053767749

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SEAN CARL VIDULICHCredential: DO

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 CMSWest Virginia School Of Osteopathic MedicineGraduated 2016

Enumeration DateMay 11, 2016

Last NPPES UpdateOctober 10, 20256 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1053767749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2019-01617✔ Licensed in CO · DR.0064081

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1204 E FIRE TOWER RD, Greenville, NC 27858

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Other Identifiers 1

Other029075CO · Kaiser Commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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. Sean Carl Vidulich Do 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 ID8921392820

PECOS Enrollment IDI20190925002105

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 Reassignments

Medicare enrollment records show Sean Vidulich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Carolina University

1.5 mi

Family Medicine

101 HEART DR
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
930 clinicians in this Medicare group

NPI 1972551919 (252) 744-4611

Rural Health Group, Inc.

62 mi

Federally Qualified Health Center (FQHC)

270 SMITH CHURCH RD
Roanoke Rapids, NC 27870

Reassigned Medicare billing, North Carolina enrollment
42 clinicians in this Medicare group

NPI 1598253734 (252) 537-0134

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

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

MR. SEAN PUMPHREY MSW, LCSW

Social Worker (Clinical)