DR. SEAN TOUSSAINT MD
NPI 1396987905
Emergency Medicine in Farmington, ME

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938(207) 778-6031 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2020, Oct 20, 2020, Jun 11, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Sean Toussaint Md NPPES

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

DR. SEAN TOUSSAINT MD (NPI 1396987905) is an individual emergency medicine provider in Farmington, Maine, licensed in Vermont (042.0012725) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Southwestern Vermont Medical Center, and is a graduate of University Of Vermont College Of Medicine (2009).

NPPES Registry Identity

NPI1396987905
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SEAN TOUSSAINTCredential: MD
Location Address111 FRANKLIN HEALTH CMNSFarmington, ME 04938-6144
Mailing Address111 Franklin Health CmnsFarmington, ME 04938-6144 · (207) 778-6031
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2009
Enumeration DateMarch 27, 2009
Last NPPES UpdateOctober 26, 20204 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
NPI 1396987905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in VT · 042.0012725 Licensed in NY · 264668
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.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License MD24251 (ME)
111 FRANKLIN HEALTH CMNS, Farmington, ME 04938

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 Toussaint Md 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 ID4789849316
PECOS Enrollment IDI20131001000322
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 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.
147 services138 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.
100 services99 patients
Emergency department visit with low level of medical decision making 99283
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.
68 services66 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470012
Location100 Hospital DriveBennington, VT 05201 · Bennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04938 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Registered Nurse
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Occupational Therapist (Physical Rehabilitation)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Hospitalist
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Registered Nurse (Emergency)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938

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 Toussaint's NPI number?

The NPI number for Sean Toussaint is 1396987905. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Sean Toussaint located?

Sean Toussaint practices at 111 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 778-6031.

What is Sean Toussaint's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sean Toussaint enrolled in Medicare?

Yes. Sean Toussaint 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.

Is Sean Toussaint affiliated with any hospitals?

According to CMS data, Sean Toussaint is affiliated with Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Toussaint was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.