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SEAN THOMAS O'BRIEN MD
NPI 1134411192
Pediatrics in Rushmore, MN

Active since May 10, 2011PECOS EnrolledAccepts Medicare Assignment
119 S THOMPSON AVE, RUSHMORE, MN 56168(651) 408-4980 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Thomas O'brien Md NPPES

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

SEAN THOMAS O'BRIEN MD (NPI 1134411192) is an individual pediatrics provider in Rushmore, Minnesota, licensed in Minnesota (59208) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1134411192
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSEAN THOMAS O'BRIENCredential: MD
Location Address119 S THOMPSON AVERushmore, MN 56168-9674
Mailing Address119 S Thompson AveRushmore, MN 56168-9674 · (651) 408-4980
Phone(651) 408-4980
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011
Enumeration DateMay 10, 2011
Last NPPES UpdateJuly 24, 2015
✔ NPI 1134411192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 59208
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
119 S THOMPSON AVE, Rushmore, MN 56168
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan.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 Thomas O'brien 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 ID42437618
PECOS Enrollment IDI20150625001929
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

3

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

Fairview Express Care
137 mi
Pediatrics
111 HUNDERTMARK RD STE 210
Chaska, MN 55318
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1043991904 (952) 401-8300
Fairview Health Services
148 mi
General Acute Care Hospital
201 E NICOLLET BLVD, OUTREACH LAB DEPARTMENT
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1225199128 (952) 892-2085
University Of Minnesota Physicians
153 mi
Adult Mental Health
5775 WAYZATA BLVD STE 255
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
NPI 1144368531 (122) 738-7106

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 56168 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 O'brien's NPI number?

The NPI number for Sean O'brien is 1134411192. It was assigned to this individual provider in the NPPES registry on May 10, 2011.

Where is Sean O'brien located?

Sean O'brien practices at 119 S Thompson Ave, Rushmore, MN 56168. The listed phone number is (651) 408-4980.

What is Sean O'brien's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sean O'brien enrolled in Medicare?

Yes. Sean O'brien 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 O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean O'brien reassigns Medicare benefits to 3 organizations: Fairview Express Care (Chaska, MN), Fairview Health Services (Burnsville, MN) and University Of Minnesota Physicians (St Louis Park, MN). 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 O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean O'brien accept?

Health plans from Sanford Health Plan and Security Health Plan list Sean O'brien 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 O'brien was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.