SEAN DOHERTY PA-C
NPI 1124844857
Physician Assistant in Red Wing, MN

Q: What is Sean Doherty's NPI number?

The NPI number for Sean Doherty is 1124844857. It was assigned to this individual provider in the NPPES registry on November 26, 2024.

Q: What is Sean Doherty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Doherty was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 26, 2024PECOS EnrolledAccepts Medicare Assignment

701 HEWITT BLVD, RED WING, MN 55066(651) 267-5000 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sean Doherty Pa-c NPPES

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

SEAN DOHERTY PA-C (NPI 1124844857) is an individual physician assistant in Red Wing, Minnesota, licensed in Minnesota (15166) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains a secondary practice location in Eagan.

NPPES Registry Identity

NPI1124844857

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSEAN DOHERTYCredential: PA-C

Location Address701 HEWITT BLVDRed Wing, MN 55066-2848

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(651) 267-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 26, 2024

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1124844857 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 · 15166

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.

701 HEWITT BLVD, Red Wing, MN 55066

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Secondary Practice Location 1

Location 11380 Corporate Center Curv Ste 305Eagan, MN 55121-1200 · Phone (440) 600-8983

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Security Health Plan.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 Doherty 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 ID1355866245

PECOS Enrollment IDI20250423002917

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.

Hospital Affiliations CMS Care Compare 4

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Mayo Clinic Health System In Red Wing

Acute Care Hospitals · Red Wing, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240018

Location701 Hewitt BoulevardRed Wing, MN 55066 · Goodhue County

Emergency services Birthing friendly

Mayo Clinic Health System - Lake City

Critical Access Hospitals · Lake City, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241338

Location500 West Grant StreetLake City, MN 55041 · Wabasha County

Emergency services

Mayo Clinic Health System - Cannon Falls

Critical Access Hospitals · Cannon Falls, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241346

Location32021 County 24 BoulevardCannon Falls, MN 55009 · Goodhue County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55066 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.

DOUGLAS STEVEN LARSEN PA-C

Physician Assistant