SEAN G BARRY M.D.
NPI 1114901642
Internal Medicine - Pulmonary Disease in Lincoln, NE

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
75.42/100
CMS Quality Rating
1500 S 48TH ST STE 800, LINCOLN, NE 68506(402) 483-8600(402) 483-8689 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2025, May 25, 2023, Mar 25, 2021 (3 updates tracked since 2021).

About Sean G Barry M.d. NPPES

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

SEAN G BARRY M.D. (NPI 1114901642) is an individual pulmonary disease provider in Lincoln, Nebraska, licensed in Nebraska (17943) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1988).

NPPES Registry Identity

NPI1114901642
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSEAN G BARRYCredential: M.D.
Location Address1500 S 48TH ST STE 800Lincoln, NE 68506-1200
Mailing Address1500 S 48th St Ste 800Lincoln, NE 68506-1200 · (402) 483-8600 · Fax (402) 483-8689
Fax(402) 483-8689
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1988
Enumeration DateNovember 29, 2005
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1114901642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NE · 17943
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 17943 (NE)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 17943 (NE)
1500 S 48TH ST STE 800, Lincoln, NE 68506

Other Identifiers 1

Medicaid10026945002NE

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 G Barry M.d. 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 ID7113950957
PECOS Enrollment IDI20050913000867
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 29

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 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.
484 services194 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.
207 services155 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
146 services61 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
137 services133 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
126 services104 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.
125 services84 patients

Hospital Affiliations CMS Care Compare 5

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Chi Health Nebraska Heart

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280128
Location7500 South 91st StLincoln, NE 68526 · Lancaster County

Syracuse Area Health

Critical Access Hospitals · Syracuse, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281309
Location2731 Healthcare DrSyracuse, NE 68446 · Otoe County

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281364
LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

75.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.18
Promoting Interoperability95
Improvement Activities40
Cost50.86

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
85%1,388 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
93%332 patients5/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
95%733 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
84%500 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 333 patients
Patients tobacco: 98% · 333 patients
94%48 patients4/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 371 patients
6%371 patients3/55-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 42

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers274 claims274 services$39.60 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
9 suppliers30 claims59 services$1.65 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers22 claims22 services$16.09 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers188 claims188 services$97.92 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers218 claims539 services$37.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers104 claims567 services$21.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1500 S 48TH ST STE 800
LINCOLN, NE 68506
Internal Medicine (Pulmonary Disease)
1500 S 48TH ST STE 800
LINCOLN, NE 68506
Internal Medicine (Pulmonary Disease)
1500 S 48TH ST STE 800
LINCOLN, NE 68506
Nurse Practitioner
1500 S 48TH ST STE 800
LINCOLN, NE 68506
Nurse Practitioner
1500 S 48TH ST STE 800
LINCOLN, NE 68506
Nurse Practitioner
1500 S 48TH ST STE 800
LINCOLN, NE 68506
Internal Medicine (Pulmonary Disease)
1500 S 48TH ST STE 800
LINCOLN, NE 68506
Physician Assistant
1500 S 48TH ST STE 800
LINCOLN, NE 68506

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 Barry's NPI number?

The NPI number for Sean Barry is 1114901642. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Sean Barry located?

Sean Barry practices at 1500 S 48th St Ste 800, Lincoln, NE 68506. The listed phone number is (402) 483-8600.

What is Sean Barry's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sean Barry enrolled in Medicare?

Yes. Sean Barry 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 Barry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Sean Barry 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 Barry affiliated with any hospitals?

According to CMS data, Sean Barry is affiliated with Bryan Medical Center, Chi Health St. Elizabeth, Chi Health Nebraska Heart, Syracuse Area Health and Beatrice Community Hospital & Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Sean Barry was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.