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DR. SEAN PATRICK WILSON M.D.
NPI 1184615650
Family Medicine in Eagar, AZ

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
18.28/100
CMS Quality Rating
606 N MAIN ST, EAGAR, AZ 85925(928) 333-5333(928) 333-5100 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sean Patrick Wilson M.d. NPPES

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

DR. SEAN PATRICK WILSON M.D. (NPI 1184615650) is an individual family medicine provider in Eagar, Arizona, licensed in Arizona (32794) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1184615650
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEAN PATRICK WILSONCredential: M.D.
Location Address606 N MAIN STEagar, AZ 85925-9813
Mailing AddressPo Box 878Springerville, AZ 85938-0878 · (928) 333-5333 · Fax (928) 333-5100
Phone(928) 333-5333
Fax(928) 333-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 2, 2005
Last NPPES UpdateNovember 21, 2007
✔ NPI 1184615650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 32794
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
606 N MAIN ST, Eagar, AZ 85925
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Other Identifiers 3

Medicare PINZ102891AZ
Medicare UPINI21490AZ
Medicaid880808AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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 Patrick Wilson 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 ID3779548177
PECOS Enrollment IDI20041124000683
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 10

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.

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.
948 services260 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.
789 services219 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
332 services51 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
204 services11 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
187 services11 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
58 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85925 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

18.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost32.9

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers25 claims67 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers25 claims35 services$0.99 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$110.38 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers15 claims15 services$63.91 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers16 claims16 services$23.52 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
7 suppliers19 claims19 services$19.87 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 8

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

SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Clinic/Center (Rural Health)
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
LARRY TRAVIS HEAP PA-C
Physician Assistant (Medical)
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
JAMES HEAP
Family Medicine
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
RALPH ADAM PATTERSON M.D.
Family Medicine
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
SCOTT R HAMBLIN MD, PC
Internal Medicine
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
EILEEN T FURMAN FNP-BC
Nurse Practitioner (Family)
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-4660
DR. SCOTT R HAMBLIN M.D.
Internal Medicine
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
REECE KIRBY HADLOCK PA-C
Physician Assistant
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333

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 Wilson's NPI number?

The NPI number for Sean Wilson is 1184615650. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Sean Wilson located?

Sean Wilson practices at 606 N Main St, Eagar, AZ 85925. The listed phone number is (928) 333-5333.

What is Sean Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sean Wilson enrolled in Medicare?

Yes. Sean Wilson 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 Wilson accept?

Health plans from Blue Cross Blue Shield of Arizona list Sean Wilson 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 Wilson was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.