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SEAN THOMAS KACEROSKY PA-C
NPI 1417695495
Physician Assistant in Cary, NC

Active since May 20, 2022PECOS EnrolledAccepts Medicare Assignment
6750 TRYON RD STE 103, CARY, NC 27518(919) 378-2332(919) 378-2333 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2024, Jul 28, 2022, May 20, 2022 (3 updates tracked since 2022).

About Sean Thomas Kacerosky Pa-c NPPES

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

SEAN THOMAS KACEROSKY PA-C (NPI 1417695495) is an individual physician assistant in Cary, North Carolina, licensed in North Carolina (0010-14579) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417695495
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN THOMAS KACEROSKYCredential: PA-C
Location Address6750 TRYON RD STE 103Cary, NC 27518-7056
Mailing Address6750 Tryon Rd Ste 103Cary, NC 27518-7056 · (919) 378-2332 · Fax (919) 378-2333
Phone(919) 378-2332
Fax(919) 378-2333
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 20, 2022
Last NPPES UpdateNovember 11, 20243 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1417695495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-14579
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6750 TRYON RD STE 103, Cary, NC 27518
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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

Sean Thomas Kacerosky Pa-c 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 ID6608259478
PECOS Enrollment IDI20241218000601
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 2

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

DR. SUNG-EUN YOO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6750 TRYON RD STE 103
CARY, NC 27518
Wake County (919) 378-2332
CARY ENDOCRINE & DIABETES CENTER PA
Specialist
6750 TRYON RD STE 103
CARY, NC 27518
Wake County (919) 378-2332

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 Kacerosky's NPI number?

The NPI number for Sean Kacerosky is 1417695495. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Where is Sean Kacerosky located?

Sean Kacerosky practices at 6750 Tryon Rd Ste 103, Cary, NC 27518. The listed phone number is (919) 378-2332.

What is Sean Kacerosky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sean Kacerosky enrolled in Medicare?

Yes. Sean Kacerosky 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.

When was this NPI record last updated?

The NPPES record for Sean Kacerosky was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.