MR. SEAN RAYMOND SIMPSON PA-C
NPI 1306458518
Physician Assistant in Wilmington, DE

Active since August 19, 2020PECOS EnrolledAccepts Medicare Assignment
1941 LIMESTONE RD STE 101, WILMINGTON, DE 19808(302) 655-9494 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2024, Aug 19, 2020 (2 updates tracked since 2020).

About Mr. Sean Raymond Simpson Pa-c NPPES

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

MR. SEAN RAYMOND SIMPSON PA-C (NPI 1306458518) is an individual physician assistant in Wilmington, Delaware, licensed in Delaware (C5-0011418) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306458518
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SEAN RAYMOND SIMPSONCredential: PA-C
Location Address1941 LIMESTONE RD STE 101Wilmington, DE 19808-5413
Mailing Address1941 Limestone Rd Ste 101Wilmington, DE 19808-5413 · (302) 655-9494
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 19, 2020
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1306458518 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 DE · C5-0011418
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.

1941 LIMESTONE RD STE 101, Wilmington, DE 19808

Accepted 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

Mr. Sean Raymond Simpson 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 ID9537504097
PECOS Enrollment IDI20240224000078
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 6

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 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.
119 services112 patients
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.
35 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Orthopaedic Surgery
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808
Physician Assistant
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808
Physician Assistant
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808
Orthopaedic Surgery
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808
Orthopaedic Surgery
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808
Physical Therapist
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808
Orthopaedic Surgery
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808
Occupational Therapist
1941 LIMESTONE RD STE 101
WILMINGTON, DE 19808

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 Simpson's NPI number?

The NPI number for Sean Simpson is 1306458518. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Sean Simpson located?

Sean Simpson practices at 1941 Limestone Rd Ste 101, Wilmington, DE 19808. The listed phone number is (302) 655-9494.

What is Sean Simpson's specialty?

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

Is Sean Simpson enrolled in Medicare?

Yes. Sean Simpson 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 Simpson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Sean Simpson 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 Simpson was last updated on July 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.