DR. SEAN D ANDERSON D.O.
NPI 1063701217
Physical Medicine & Rehabilitation - Sports Medicine in Ogden, UT

Q: What is Sean Anderson's NPI number?

The NPI number for Sean Anderson is 1063701217. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Q: What is Sean Anderson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Sean Anderson was last updated on March 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5405 S 500 E STE 202, OGDEN, UT 84405(801) 475-1928(801) 475-1808 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2021, Nov 23, 2020, Apr 18, 2017 (3 updates tracked since 2017).

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About Dr. Sean D Anderson D.o. NPPES

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

DR. SEAN D ANDERSON D.O. (NPI 1063701217) is an individual sports medicine provider in Ogden, Utah, licensed in Utah (5585387-1204) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Ogden Regional Medical Center, and maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1063701217

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameDR. SEAN D ANDERSONCredential: D.O.

Location Address5405 S 500 E STE 202Ogden, UT 84405-7419

Mailing AddressPo Box 741729Atlanta, GA 30374-1729

Phone(801) 475-1928

Fax(801) 475-1808

Sole ProprietorYes

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2011

Enumeration DateMarch 28, 2011

Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration

NPPES CertifiedMarch 15, 2021

✔ NPI 1063701217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

Licenses✔ Licensed in UT · 5585387-1204✔ Licensed in ID · O-0868

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5405 S 500 E STE 202, Ogden, UT 84405

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Secondary Practice Location 1

Location 13200 Channing Way Ste 306Idaho Falls, ID 83404-7546 · Phone (208) 535-4400 · Fax (208) 535-4404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.Insurance ›

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 D Anderson D.o. 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 ID7810205317

PECOS Enrollment IDI20210406001318

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

763 services118 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

106 services100 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

105 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

64 services58 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

49 services49 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.

34 services16 patients

Hospital Affiliations CMS Care Compare

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

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460005

Location5475 South 500 EastOgden, UT 84405 · Weber County

Emergency services

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.

100/100

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

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

100%21 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%38 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers27 claims27 services$16.87 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers11 claims11 services$840.21 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers47 claims47 services$89.43 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$32.39 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

5 suppliers60 claims60 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.

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Other Providers at the Same Location NPPES 5

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

HAROLD M JOHNSON M.D.

Internal Medicine (Hematology & Oncology)