DR. SEAN F. FLYNN M.D.
NPI 1407816044
Family Medicine in Effingham, IL

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
905 N MAPLE ST STE E, EFFINGHAM, IL 62401(217) 347-7030(217) 347-7197 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Mar 7, 2023, Sep 27, 2022 (3 updates tracked since 2022).

About Dr. Sean F. Flynn M.d. NPPES

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

DR. SEAN F. FLYNN M.D. (NPI 1407816044) is an individual family medicine provider in Effingham, Illinois, licensed in Illinois (036104430) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1407816044
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEAN F. FLYNNCredential: M.D.
Location Address905 N MAPLE ST STE EEffingham, IL 62401-6401
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Fax(217) 347-7197
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 27, 2006
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
NPI 1407816044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036104430
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
905 N MAPLE ST STE E, Effingham, IL 62401

Other Identifiers 9

Other080193907IL · Railroad Medicare
Other1351483First Health/ Coventry
Other461699IL · Healthlink
Other336065138IL · Illinois Controlled Substance License
Medicaid371391171003IL
Other170989Personal Care
Other036104430IL · Illinois License
Other076638IL · Health Alliance
Other0032540072IL · Blue Cross Blue Shield Il

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 F. Flynn M.d. 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 ID9234114943
PECOS Enrollment IDI20051219000543
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 9

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.
1,034 services507 patients
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.
280 services95 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
125 services94 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.
102 services81 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.
69 services63 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
59 services18 patients

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 42

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers240 claims448 services$5.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers44 claims48 services$0.92 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$18.04 avg. paid by Medicare
Irrigation tray with bulb or piston syringe, any purpose A4320
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims45 services$4.56 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier18 claims210 services$1.83 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers27 claims38 services$8.38 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

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

Nurse Practitioner (Family)
905 N MAPLE ST STE E
EFFINGHAM, IL 62401

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 Flynn's NPI number?

The NPI number for Sean Flynn is 1407816044. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Sean Flynn located?

Sean Flynn practices at 905 N Maple St Ste E, Effingham, IL 62401. The listed phone number is (217) 347-7030.

What is Sean Flynn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sean Flynn enrolled in Medicare?

Yes. Sean Flynn 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 Flynn affiliated with any hospitals?

According to CMS data, Sean Flynn is affiliated with St Anthonys Memorial Hospital, Sarah Bush Lincoln Health Center and Crawford Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sean Flynn was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.