1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Optometrist
  6. NPI Profile

DR. SEAN P COUGHLIN O.D.
NPI 1154319390
Optometrist in Orlando, FL

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
87.1/100
CMS Quality Rating
7051 DR PHILLIPS BLVD, SUITE 7, ORLANDO, FL 32819(407) 351-3232(407) 354-3397 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sean P Coughlin O.d. NPPES

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

DR. SEAN P COUGHLIN O.D. (NPI 1154319390) is an individual optometrist in Orlando, Florida, licensed in Florida (OPC2778) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1154319390
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SEAN P COUGHLINCredential: O.D.
Location Address7051 DR PHILLIPS BLVD, SUITE 7Orlando, FL 32819-5140
Mailing Address13318 Bonica WayWindermere, FL 34786-5701 · (407) 905-6769
Phone(407) 351-3232
Fax(407) 354-3397
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 12, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1154319390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC2778
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
7051 DR PHILLIPS BLVD, Orlando, FL 32819
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedK7066FL · M-care #
Medicare UPINU4134ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Sean P Coughlin O.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 ID8022068048
PECOS Enrollment IDI20050128000634
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 11

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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
379 services299 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
341 services323 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
267 services246 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.
110 services94 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
82 services69 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
51 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32819 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

87.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.2
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
23%139 patients2/55-star benchmark: 87%
Diabetes: Eye Exam
99%250 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
39%31 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
70%3,670 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%74 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%782 patients5/55-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.

Other Providers at the Same Location NPPES 9

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

CATHERINE REYNOLDS
Nurse Practitioner
7051 DR PHILLIPS BLVD
ORLANDO, FL 32819
Orange County (407) 345-9929
DR. LORI K LAMBERT M.D.
Obstetrics & Gynecology
7051 DR PHILLIPS BLVD, SUITE 5
ORLANDO, FL 32819
Orange County (407) 363-2000
DR. DENNIS R GROSS M.D.
Pediatrics
7051 DR PHILLIPS BLVD, SUITE 1
ORLANDO, FL 32819
Orange County (407) 345-9929
LORI K. LAMBERT, M.D., P.A.
Obstetrics & Gynecology
7051 DR PHILLIPS BLVD, SUITE 5
ORLANDO, FL 32819
Orange County (407) 363-2000
GERALD PRICEMAN M.D.
Internal Medicine
7051 DR PHILLIPS BLVD, SUITE 1
ORLANDO, FL 32819
Orange County (407) 345-9929
DR. ROBERT GOLDIE D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
7051 DR PHILLIPS BLVD, SUITE 9
ORLANDO, FL 32819
Orange County (407) 363-4800
COUGHLIN EYE CENTER, LLC
Optometrist
7051 DR PHILLIPS BLVD, SUITE 7
ORLANDO, FL 32819
Orange County (407) 351-3232
DR. JAMES DANIEL JONES D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
7051 DR PHILLIPS BLVD, #9
ORLANDO, FL 32819
Orange County (407) 363-4800

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 Coughlin's NPI number?

The NPI number for Sean Coughlin is 1154319390. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Sean Coughlin located?

Sean Coughlin practices at 7051 Dr Phillips Blvd Suite 7, Orlando, FL 32819. The listed phone number is (407) 351-3232.

What is Sean Coughlin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sean Coughlin enrolled in Medicare?

Yes. Sean Coughlin 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 Coughlin accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 8 other insurers list Sean Coughlin 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 Coughlin was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.