MR. SEAN CORBETT JR. PA-C
NPI 1396139614
Physician Assistant - Medical in Dorchester, MA

NPI Status: Active since March 25, 2015

Contact Information

2100 DORCHESTER AVE
DORCHESTER, MA
ZIP 02124
Phone: (617) 506-4444

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  • Individual
  • Male
  • Years of Experience 12
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About SEAN CORBETT

This page provides the complete NPI Profile along with additional information for Sean Corbett, a primary care provider established in Dorchester, Massachusetts with a medical specialization in Physician Assistant, focusing in medical and more than 12 years of experience. He graduated from Tufts University School Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1396139614 assigned on March 2015. The practitioner's primary taxonomy code is 363AM0700X with license number PA5288 (MA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1396139614
Provider Name
MR. SEAN CORBETT JR. PA-C
Gender
Male
Entity Type
Individual
Location Address
2100 DORCHESTER AVE DORCHESTER, MA 02124
Location Phone
(617) 506-4444
Mailing Address
2100 DORCHESTER AVE DORCHESTER, MA 02124
Mailing Phone
(617) 506-4444
Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
03-25-2015
Last Update Date
01-28-2019
Code Navigator

A primary care provider (PCP) like Sean Corbett sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • Lahey Clinic Inc 41 Mall Road
    Burlington, MA 01805
    (781) 744-8000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA5288
License State
MA

Medicare Participation & PECOS Enrollment Status

Sean Corbett is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sean Corbett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6305165259

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150428000655

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

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.

This service was performed 74 times for 73 patients

Emergency department visit for problem of high severity

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.

This service was performed 43 times for 43 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 19 times for 19 patients

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Implementation of an ASPYesN/A
Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance
MDD prevention and treatment interventionsYesN/A
Major depressive disorder: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including suicide risk assessment (refer to NQF #0104) for mental health patients with co-occurring conditions of behavioral or mental health conditions.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sean Corbett is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON41 & 45 MALL ROAD
BURLINGTON, MA 01803
(781) 744-5100Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396139614, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 2 + 3 + 1 + 8 + 6 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1396139614.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
2100 DORCHESTER AVE, SUITE 2206
DORCHESTER CENTER, MA 02124
Anesthesiology
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Surgery
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Emergency Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Internal Medicine (Cardiovascular Disease)
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Obstetrics & Gynecology
2100 DORCHESTER AVE, MEDICAL OFFICE BUILDING SUITE 104
DORCHESTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Internal Medicine (Geriatric Medicine)
2100 DORCHESTER AVE, AMBULATORY CARE CENTER
DORCHESTER CENTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE, SUITE 2203
DORCHESTER, MA 02124
Internal Medicine (Cardiovascular Disease)
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Pediatrics
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Psychiatry & Neurology (Psychiatry)
2100 DORCHESTER AVE, 4 SOUTH
DORCHESTER CENTER, MA 02124
Podiatrist (Foot & Ankle Surgery)
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Internal Medicine (Geriatric Medicine)
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Emergency Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Radiology (Diagnostic Radiology)
2100 DORCHESTER AVE
BOSTON, MA 02124
Nurse Anesthetist, Certified Registered
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396139614, enumerated as an "individual" on March 25, 2015.

The provider is located at 2100 DORCHESTER AVE DORCHESTER, MA 02124 and the phone number is (617) 506-4444.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Sean Corbett is affiliated with: LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON.