SEAN MCCALMON D.O.
NPI 1073044988
Internal Medicine - Endocrinology, Diabetes & Metabolism in Wilmington, NC

Q: What is Sean Mccalmon's NPI number?

The NPI number for Sean Mccalmon is 1073044988. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Sean Mccalmon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Sean Mccalmon was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment

86.33/100

CMS Quality Rating

2421 SILVER STREAM LN, WILMINGTON, NC 28401(910) 763-6332(910) 362-4150 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Jul 28, 2022, Mar 22, 2017 (3 updates tracked since 2017).

On this page

About Sean Mccalmon D.o. NPPES

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

SEAN MCCALMON D.O. (NPI 1073044988) is an individual endocrinology, diabetes & metabolism provider in Wilmington, North Carolina, licensed in North Carolina (2022-01975) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073044988

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameSEAN MCCALMONCredential: D.O.

Location Address2421 SILVER STREAM LNWilmington, NC 28401-7684

Mailing Address1202 Medical Center DrWilmington, NC 28401-7307 · (910) 341-3300

Phone(910) 763-6332

Fax(910) 362-4150

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 22, 2017

Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1073044988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NC · 2022-01975

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

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

2421 SILVER STREAM LN, Wilmington, NC 28401

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Sean Mccalmon 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 ID7214351519

PECOS Enrollment IDI20221012002982

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 35

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

3,840 services40 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

748 services434 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

520 services327 patients

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.

445 services320 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

422 services262 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

368 services218 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

368 services233 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

365 services231 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

361 services211 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

355 services207 patients

Thyroid hormone, t3 measurement, free 84481

The T3 measurement, free, is a blood test that checks the level of a hormone called triiodothyronine. This hormone is produced by your thyroid, a small gland in your neck. It plays a key role in regulating your body's metabolism and energy use.

352 services223 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

322 services186 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

320 services186 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

245 services125 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

189 services143 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

105 services54 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.

84 services84 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

74 services73 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

62 services49 patients

Phosphate level 84100

A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.

52 services42 patients

Cortisol (hormone) measurement, total 82533

Cortisol measurement is a test that checks the level of cortisol, a hormone, in your body. It's often used to assess stress levels or check for conditions like Addison's disease or Cushing's syndrome. This involves a simple blood or saliva sample.

50 services39 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

35 services30 patients

Prolactin (milk producing hormone) level 84146

A prolactin level test measures the amount of a hormone, prolactin, in your blood. This hormone plays a role in many bodily functions, such as the creation of milk. High or low levels can indicate certain health conditions. The test involves a simple blood draw.

32 services27 patients

Gonadotropin, follicle stimulating (reproductive hormone) level 83001

This is a test that measures the level of a hormone in your body known as follicle stimulating hormone (FSH). FSH plays a key role in the body's reproductive processes. It's important for growth and the healthy functioning of the body.

30 services26 patients

Gonadotropin, luteinizing (reproductive hormone) level 83002

This is a blood test that measures the level of luteinizing hormone (LH). LH plays a key role in body growth and development. It's important for the proper functioning of certain glands. Irregular levels can indicate potential health issues.

30 services26 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

27 services27 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

25 services25 patients

Microsomal antibodies (autoantibody) measurement 86376

Microsomal antibodies measurement is a blood test to detect specific antibodies that your immune system may produce. It's often used to diagnose autoimmune conditions like thyroid disorders. The test is simple, involving a standard blood draw.

21 services21 patients

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085

A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.

19 services19 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

19 services14 patients

Measurement of total estradiol (hormone) 82670

Total estradiol measurement is a simple blood test that examines the level of a key hormone in your body. This hormone plays a vital role in many body functions. The test helps understand if hormone levels are balanced, which can impact overall health.

18 services16 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

15 services11 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

14 services14 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Urine volume measurement 81050

Urine volume measurement is a simple procedure to assess the amount of urine your body produces in a given time period. This helps to monitor your body's water balance and kidney function. You'll collect all urine in a special container for a set time, typically 24 hours.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC

OwnershipVoluntary non-profit - Other

CMS Certification Number341327

Location924 Howe StSouthport, NC 28461 · Brunswick County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

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.

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.

86.33/100

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

Individually scored

Quality

65.3

Promoting Interoperability

100

Improvement Activities

Cost

89.13

Reported Quality Measures

Advance Care Plan

13%632 patients1/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

100%39 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

66%383 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

22%591 patients4/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

96%2,489 patients4/55-star benchmark: 100%

e-Prescribing

99%4,116 patients4/55-star benchmark: 100%

Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)

11%140 patients

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 55% · 1,070 patients

54%1,070 patients

Provide Patients Electronic Access to Their Health Information

88%1,521 patients4/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

25%416 patients1/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 621 patients

Patients totalRate: 8% · 621 patients

7%621 patients4/55-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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers20 claims20 services$180.50 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

LINDA R SHARENOW RD ,CDE

Nutritionist (Nutrition, Education)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

CRYSTAL DAWN HILL PA-C

Physician Assistant (Surgical)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

MARY PINTO

Nurse Practitioner

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

CATHERINE CLARK DUNCAN DPT

Physical Therapist

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

KELLY LEE GLISSON NP

Nurse Practitioner

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

VICTORIA TUCKER N.P.

Nurse Practitioner (Pediatrics)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 763-2072

MELISSA DANIELLE FLYNN RD/LDN

Dietitian, Registered

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 362-8605

PAUL F KAMITSUKA MD

Internal Medicine (Infectious Disease)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

CAROL BRYANT LCSW

Social Worker (Clinical)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 262-4376

ROBERT NELSON PA-C

Physician Assistant

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3383

RONALD L GEORGE JR.

Internal Medicine (Rheumatology)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

DR. HEATHER B FAVORITO MD

Internal Medicine (Rheumatology)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

MICHAEL Y PARKER MD

Otolaryngology (Plastic Surgery within the Head & Neck)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 509-7474

MICHAEL S MCGARRITY M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2421 SILVER STREAM LN, WILMINGTON HEALTH, PLLC
WILMINGTON, NC 28401

New Hanover County (910) 251-8824

KIMBERLY D MYERS APRN, NP-C

Nurse Practitioner (Family)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3426

WILMINGTON HEALTH PLLC

Hearing Instrument Specialist

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 617-6105

SETH N BRAUNSTEIN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

JOHN C PARKER M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

DR. GINA MARIE BERTHOLD M.D.

Internal Medicine (Infectious Disease)

2421 SILVER STREAM LN, ATTEN CREDENTIALING
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

MRS. CARYN ANN BOWDEN FNP

Nurse Practitioner (Pediatrics)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 763-2072

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 Mccalmon's NPI number?

The NPI number for Sean Mccalmon is 1073044988. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Sean Mccalmon located?

Sean Mccalmon practices at 2421 Silver Stream Ln, Wilmington, NC 28401. The listed phone number is (910) 763-6332.

What is Sean Mccalmon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sean Mccalmon enrolled in Medicare?

Yes. Sean Mccalmon 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 Mccalmon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Sean Mccalmon 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 Sean Mccalmon affiliated with any hospitals?

According to CMS data, Sean Mccalmon is affiliated with Novant Health New Hanover Regional Medical Center and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sean Mccalmon was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.