SEAN MICHAEL CRAZE DO
NPI 1154070381
Internal Medicine in Somerset, KY

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
303 LANGDON ST, SOMERSET, KY 42503(606) 451-5093 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Michael Craze Do NPPES

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

SEAN MICHAEL CRAZE DO (NPI 1154070381) is an individual internal medicine provider in Somerset, Kentucky, licensed in Kentucky (R6407) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154070381
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEAN MICHAEL CRAZECredential: DO
Location Address303 LANGDON STSomerset, KY 42503-2750
Mailing Address303 Langdon StSomerset, KY 42503-2750 · (606) 451-5093
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1154070381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · R6407
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
303 LANGDON ST, Somerset, KY 42503

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 Michael Craze Do 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 ID7214471234
PECOS Enrollment IDI20240702000795
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

2

Medicare enrollment records show Sean Craze reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1 TRILLIUM WAY, SUITE 5
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 93 clinicians in this Medicare group
Hospitalist
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Kentucky enrollment
  • 79 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 5

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Casey County Hospital

Critical Access Hospitals · Liberty, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181309
Location187 Wolford AvenueLiberty, KY 42539 · Casey County
Emergency services

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY
OwnershipGovernment - Local
CMS Certification Number181330
Location153 Dowell RoadRussell Springs, KY 42642 · Russell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 13

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

Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Family Medicine
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Optometrist
303 LANGDON ST
SOMERSET, KY 42503
Optometrist
303 LANGDON ST
SOMERSET, KY 42503

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 Craze's NPI number?

The NPI number for Sean Craze is 1154070381. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Sean Craze located?

Sean Craze practices at 303 Langdon St, Somerset, KY 42503. The listed phone number is (606) 451-5093.

What is Sean Craze's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Craze enrolled in Medicare?

Yes. Sean Craze 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 Craze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Craze reassigns Medicare benefits to 2 organizations: Apogee Medical Group Kentucky Psc (Corbin, KY) and South Central Physicians PLLC (Lubbock, TX). 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 Craze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Craze affiliated with any hospitals?

According to CMS data, Sean Craze is affiliated with University Of Kentucky Hospital, Lake Cumberland Regional Hospital, Casey County Hospital, Wayne County Hospital and Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Sean Craze was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.