SEAN RUMRILL M.D.
NPI 1124479795
Surgery in Falmouth, MA

Q: What is Sean Rumrill's NPI number?

The NPI number for Sean Rumrill is 1124479795. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Q: What is Sean Rumrill's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Rumrill was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment

90 TER HEUN DR, FALMOUTH, MA 02540(317) 274-4966(508) 457-3755 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2026, Jun 24, 2016 (2 updates tracked since 2016).

On this page

About Sean Rumrill M.d. NPPES

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

SEAN RUMRILL M.D. (NPI 1124479795) is an individual surgery provider in Falmouth, Massachusetts, licensed in Massachusetts (289814) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Falmouth Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124479795

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSEAN RUMRILLCredential: M.D.

Location Address90 TER HEUN DRFalmouth, MA 02540-2533

Mailing Address90 Ter Heun DrFalmouth, MA 02540-2533 · (508) 457-3880 · Fax (508) 457-3755

Phone(317) 274-4966

Fax(508) 457-3755

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 24, 2016

Last NPPES UpdateApril 16, 20262 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1124479795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MA · 289814

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

90 TER HEUN DR, Falmouth, MA 02540

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Sean Rumrill 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 ID8820380900

PECOS Enrollment IDI20210729002510

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 Reassignments

Medicare enrollment records show Sean Rumrill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Of Falmouth Hospital

Same address

Internal Medicine

100 TER HEUN DR
Falmouth, MA 02540

Reassigned Medicare billing, Massachusetts enrollment
238 clinicians in this Medicare group

NPI 1821363698 (508) 957-8667

Cape Cod Surgeons PC

0.6 mi

Surgery

210 JONES ROAD, SUITE 2 5
Falmouth, MA 02540

Reassigned Medicare billing, Massachusetts enrollment
4 clinicians in this Medicare group

NPI 1366508194 (508) 540-9771

Medical Affiliates Of Cape Cod, Inc.

19 mi

Internal Medicine

27 PARK ST, GLEASON HOUSE
Hyannis, MA 02601

Reassigned Medicare billing, Massachusetts enrollment
423 clinicians in this Medicare group

NPI 1770534927 (508) 862-5040

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

Areas of Expertise CMS Part B claims 20

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.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

192 services41 patients

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.

189 services84 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.

132 services51 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.

99 services70 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

71 services45 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

65 services63 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

59 services41 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

56 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

51 services51 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

32 services16 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

31 services11 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

25 services25 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.

21 services21 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.

20 services19 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.

16 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

15 services14 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.

15 services15 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

14 services14 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.

13 services13 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220135

Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02540 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers24 claims1,600 services$0.10 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims161 services$7.20 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

2 suppliers20 claims1,064 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

2 suppliers24 claims2,129 services$0.38 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 12

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

THE CARDIOVASCULAR SPECIALISTS LLC

Specialist

90 TER HEUN DR, SUITE 300
FALMOUTH, MA 02540

Barnstable County (508) 540-0604

BERNARD MICHAEL NAGEL JR. MD

Obstetrics & Gynecology

90 TER HEUN DR, SECOND FLOOR
FALMOUTH, MA 02540

Barnstable County (508) 457-0088

THOMAS W IRVINE MD PC

Internal Medicine (Critical Care Medicine)

90 TER HEUN DR
FALMOUTH, MA 02540

Barnstable County (508) 548-2402

XIANG-YANG D GUO MD

Internal Medicine (Gastroenterology)

90 TER HEUN DR, SUITE 101
FALMOUTH, MA 02540

Barnstable County (508) 495-7160

SAM T DONTA MD

Internal Medicine (Infectious Disease)

90 TER HEUN DR
FALMOUTH, MA 02540

Barnstable County (508) 539-6666

MIR SHUTTARI MD

Internal Medicine (Pulmonary Disease)

90 TER HEUN DR
FALMOUTH, MA 02540

Barnstable County (508) 548-8574

DR. JOHN C HOSTETTER M.D.

Internal Medicine (Cardiovascular Disease)

90 TER HEUN DR, SUITE 300
FALMOUTH, MA 02540

Barnstable County (508) 540-0604

JOHN J GUERIN M.D.

Internal Medicine (Cardiovascular Disease)

90 TER HEUN DR, SUITE 300
FALMOUTH, MA 02540

Barnstable County (508) 540-0604

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 Rumrill's NPI number?

The NPI number for Sean Rumrill is 1124479795. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Sean Rumrill located?

Sean Rumrill practices at 90 Ter Heun Dr, Falmouth, MA 02540. The listed phone number is (317) 274-4966.

What is Sean Rumrill's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sean Rumrill enrolled in Medicare?

Yes. Sean Rumrill 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 organizations bill Medicare for Sean Rumrill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Rumrill reassigns Medicare benefits to 3 organizations: Physicians Of Falmouth Hospital (Falmouth, MA), Cape Cod Surgeons PC (Falmouth, MA) and Medical Affiliates Of Cape Cod, Inc. (Hyannis, MA). Each 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 Rumrill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Rumrill accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Sean Rumrill 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 Rumrill affiliated with any hospitals?

According to CMS data, Sean Rumrill is affiliated with Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Sean Rumrill was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.