Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ERIC F. SEWELL MD
NPI 1386627529
Emergency Medicine in Athens, GA

Active since November 22, 2005PECOS Enrolled
81.01/100
CMS Quality Rating
1199 PRINCE AVE, ATHENS, GA 30606(800) 532-6151(706) 354-5769 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Eric F. Sewell Md NPPES

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

DR. ERIC F. SEWELL MD (NPI 1386627529) is an individual emergency medicine provider in Athens, Georgia, licensed in Georgia (50263) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386627529
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ERIC F. SEWELLCredential: MD
Location Address1199 PRINCE AVEAthens, GA 30606-2797
Mailing AddressPo Box 5719Athens, GA 30604-5719 · (706) 310-0381 · Fax (706) 310-0390
Fax(706) 354-5769
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1386627529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 50263
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1199 PRINCE AVE, Athens, GA 30606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Eric F. Sewell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
285 services275 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
91 services91 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
88 services86 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

81.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.01
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$60.60 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 20

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

Radiology (Diagnostic Radiology)
1199 PRINCE AVE
ATHENS, GA 30606
Emergency Medicine
1199 PRINCE AVE
ATHENS, GA 30606
Pathology (Anatomic Pathology & Clinical Pathology)
1199 PRINCE AVE
ATHENS, GA 30606
Pathology (Anatomic Pathology & Clinical Pathology)
1199 PRINCE AVE
ATHENS, GA 30606
Pathology (Anatomic Pathology & Clinical Pathology)
1199 PRINCE AVE
ATHENS, GA 30606
Pathology (Anatomic Pathology & Clinical Pathology)
1199 PRINCE AVE
ATHENS, GA 30606
Internal Medicine
1199 PRINCE AVE
ATHENS, GA 30606
Internal Medicine
1199 PRINCE AVE
ATHENS, GA 30606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386627529, enumerated as an "individual" on November 22, 2005.

The provider is located at 1199 PRINCE AVE ATHENS, GA 30606 and the phone number is (800) 532-6151.

Emergency Medicine with taxonomy code 207P00000X.