SEAN SULLIVAN DWYER PA-C
NPI 1073022372
Physician Assistant in Edina, MN

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment
4010 W 65TH ST, EDINA, MN 55435(952) 456-7000 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2025, Aug 23, 2024, Jul 30, 2023 and 3 more (6 updates tracked since 2018).

About Sean Sullivan Dwyer Pa-c NPPES

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

SEAN SULLIVAN DWYER PA-C (NPI 1073022372) is an individual physician assistant in Edina, Minnesota, licensed in Minnesota (12601) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2017).

NPPES Registry Identity

NPI1073022372
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN SULLIVAN DWYERCredential: PA-C
Location Address4010 W 65TH STEdina, MN 55435-1706
Mailing Address3500 American Blvd W Ste 300Bloomington, MN 55431-4442 · (952) 512-5600
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2017
Enumeration DateSeptember 29, 2017
Last NPPES UpdateNovember 3, 20256 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1073022372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 12601
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4010 W 65TH ST, Edina, MN 55435

Accepted 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

Sean Sullivan Dwyer Pa-c 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 ID1557620697
PECOS Enrollment IDI20180117001156
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

Specialist/Technologist (Athletic Trainer)
4010 W 65TH ST
EDINA, MN 55435
Occupational Therapist (Pediatrics)
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Registered Nurse (Registered Nurse First Assistant)
4010 W 65TH ST
EDINA, MN 55435
Nurse Practitioner
4010 W 65TH ST
EDINA, MN 55435
Orthopaedic Surgery
4010 W 65TH ST
EDINA, MN 55435
Physician Assistant
4010 W 65TH ST
EDINA, MN 55435
Speech-Language Pathologist
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Orthopaedic Surgery (Hand Surgery)
4010 W 65TH ST
EDINA, MN 55435

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 Sean Dwyer's NPI number?

The NPI number for Sean Dwyer is 1073022372. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Sean Dwyer located?

Sean Dwyer practices at 4010 W 65th St, Edina, MN 55435. The listed phone number is (952) 456-7000.

What is Sean Dwyer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sean Dwyer enrolled in Medicare?

Yes. Sean Dwyer 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.

What insurance does Sean Dwyer accept?

Health plans from HealthPartners and Medica list Sean Dwyer 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.

When was this NPI record last updated?

The NPPES record for Sean Dwyer was last updated on November 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.