DR. SEAN E PACK DDS MD
NPI 1083901425
Dentist - Oral and Maxillofacial Surgery in East Lansing, MI

Q: What is Sean Pack's NPI number?

The NPI number for Sean Pack is 1083901425. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Q: What is Sean Pack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Sean Pack was last updated on December 20, 2022. 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 July 06, 2011PECOS EnrolledAccepts Medicare Assignment

325 W LAKE LANSING RD, EAST LANSING, MI 48823(517) 337-9759(517) 337-8156 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2022, Aug 2, 2018, Aug 18, 2016 (3 updates tracked since 2016).

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About Dr. Sean E Pack Dds Md NPPES

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

DR. SEAN E PACK DDS MD (NPI 1083901425) is an individual oral and maxillofacial surgery provider in East Lansing, Michigan, licensed in Michigan (2901022038) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2016).

NPPES Registry Identity

NPI1083901425

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. SEAN E PACKCredential: DDS MD

Location Address325 W LAKE LANSING RDEast Lansing, MI 48823-8524

Mailing Address325 W Lake Lansing RdEast Lansing, MI 48823-8524 · (517) 337-9759 · Fax (517) 337-8156

Phone(517) 337-9759

Fax(517) 337-8156

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2016

Enumeration DateJuly 6, 2011

Last NPPES UpdateDecember 20, 20223 updates tracked since enumeration

NPPES CertifiedDecember 9, 2022

✔ NPI 1083901425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MI · 2901022038

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

325 W LAKE LANSING RD, East Lansing, MI 48823

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan, DENCAP Dental Plans, Inc.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 E Pack Dds 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 ID5496043572

PECOS Enrollment IDI20161005000183

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 Reassignment

Medicare enrollment records show Sean Pack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid Michigan Oral Surgery PC

Same address

Oral and Maxillofacial Surgery

325 W LAKE LANSING RD
East Lansing, MI 48823

Reassigned Medicare billing, Michigan enrollment
3 clinicians in this Medicare group

NPI 1174516413 (517) 337-9759

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 4

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

SHERILL LYNN BEHNKE DDS

Dentist (General Practice)

325 W LAKE LANSING RD, SUITE C
EAST LANSING, MI 48823

Ingham County (517) 332-8663

MID MICHIGAN ORAL SURGERY PC

Dentist (Oral and Maxillofacial Surgery)

325 W LAKE LANSING RD
EAST LANSING, MI 48823

Ingham County (517) 337-9759

DR. VINCENT VERN BENIVEGNA D.D.S.

Dentist (Oral and Maxillofacial Surgery)

325 W LAKE LANSING RD
EAST LANSING, MI 48823

Ingham County (517) 337-9759

DR. MARK E BECKMAN D.D.S.,M.S.

Dentist (Oral and Maxillofacial Surgery)

325 W LAKE LANSING RD
EAST LANSING, MI 48823

Ingham County (517) 337-9759

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 Pack's NPI number?

The NPI number for Sean Pack is 1083901425. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Sean Pack located?

Sean Pack practices at 325 W Lake Lansing Rd, East Lansing, MI 48823. The listed phone number is (517) 337-9759.

What is Sean Pack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sean Pack enrolled in Medicare?

Yes. Sean Pack 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.

Which organization bills Medicare for Sean Pack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Pack reassigns Medicare benefits to Mid Michigan Oral Surgery PC (East Lansing, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Pack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Pack accept?

Health plans from DENCAP Dental Plans, Inc and Delta Dental of Michigan list Sean Pack 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 Pack was last updated on December 20, 2022. 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.