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SEAN T DONOVAN MD
NPI 1407090236
Internal Medicine in Nashville, TN

Active since April 23, 2009PECOS EnrolledAccepts Medicare Assignment
3443 DICKERSON PIKE, STE. 680, NASHVILLE, TN 37207(615) 865-3322(615) 467-6692 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sean T Donovan Md NPPES

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

SEAN T DONOVAN MD (NPI 1407090236) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (50388) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2009).

NPPES Registry Identity

NPI1407090236
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEAN T DONOVANCredential: MD
Location Address3443 DICKERSON PIKE, STE. 680Nashville, TN 37207-2519
Mailing Address3443 Dickerson Pike, Ste. 680Nashville, TN 37207-2519 · (615) 865-3322 · Fax (615) 467-6692
Phone(615) 865-3322
Fax(615) 467-6692
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2009
Enumeration DateApril 23, 2009
Last NPPES UpdateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1407090236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 50388
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 50388 (TN)
3443 DICKERSON PIKE, Nashville, TN 37207
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Other Identifiers 1

MedicaidQ001269TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean T Donovan 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 ID6800038357
PECOS Enrollment IDI20130812000829
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.

Medicare Billing Reassignment

Medicare enrollment records show Sean Donovan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anova Medical Associates, Plc
18 mi
Hospitalist
1156 NASHVILLE PIKE
Gallatin, TN 37066
  • Reassigned Medicare billing, Tennessee enrollment
  • 195 clinicians in this Medicare group
NPI 1659849537 (615) 989-1088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
137 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services45 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Trousdale Medical Center

Critical Access Hospitals · Hartsville, TN
OwnershipVoluntary non-profit - Other
CMS Certification Number441301
Location500 Church StreetHartsville, TN 37074 · Trousdale County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37207 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$49.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers31 claims31 services$15.06 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$6.48 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
3 suppliers31 claims31 services$72.95 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$37.84 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier50 claims50 services$20.38 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.

GRAFTON HUNT THURMAN MD
Internal Medicine (Geriatric Medicine)
3443 DICKERSON PIKE, SUITE 512
NASHVILLE, TN 37207
Davidson County (615) 868-3553
TENNESSEE ONCOLOGY PHARMACY DISPENSING
Non-Pharmacy Dispensing Site
3443 DICKERSON PIKE, STE 760
NASHVILLE, TN 37207
Davidson County (615) 860-1556
DOMINIQUE DENNIS FNP
Nurse Practitioner (Family)
3443 DICKERSON PIKE, SUITE 250
NASHVILLE, TN 37207
Davidson County (615) 824-3737
DR. JESSICA J LESUEUR OD
Optometrist
3443 DICKERSON PIKE, STE. 240
NASHVILLE, TN 37207
Davidson County (615) 217-3321
ADAM ALSTON RICHTER MD
Surgery (Vascular Surgery)
3443 DICKERSON PIKE, SUITE 600
NASHVILLE, TN 37207
Davidson County (615) 865-0700
DR. NKEMKA EZEAMAMA M.D.
Emergency Medicine
3443 DICKERSON PIKE
NASHVILLE, TN 37207
Davidson County (615) 762-3777
MICHEL E KUZUR MD
Internal Medicine (Medical Oncology)
3443 DICKERSON PIKE, STE 760
NASHVILLE, TN 37207
Davidson County (615) 860-1556
DR. DAVID EARL MCKEE M. D.
Plastic Surgery
3443 DICKERSON PIKE, SUITE 740
NASHVILLE, TN 37207
Davidson County (615) 868-4091

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 Donovan's NPI number?

The NPI number for Sean Donovan is 1407090236. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Sean Donovan located?

Sean Donovan practices at 3443 Dickerson Pike Ste. 680, Nashville, TN 37207. The listed phone number is (615) 865-3322.

What is Sean Donovan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Donovan enrolled in Medicare?

Yes. Sean Donovan 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.

Which organization bills Medicare for Sean Donovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Donovan reassigns Medicare benefits to Anova Medical Associates, Plc (Gallatin, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Donovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Donovan accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Sean Donovan 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.

Is Sean Donovan affiliated with any hospitals?

According to CMS data, Sean Donovan is affiliated with Sumner Regional Medical Center and Trousdale Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Donovan was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.