SEAN M. LYNCH PA-C
NPI 1427004795
Physician Assistant in Cincinnati, OH

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
3825 EDWARDS RD, SUITE 300, CINCINNATI, OH 45209(513) 221-1100(513) 569-5297 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sean M. Lynch Pa-c NPPES

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

SEAN M. LYNCH PA-C (NPI 1427004795) is an individual physician assistant in Cincinnati, Ohio, licensed in Ohio (50001314) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1427004795
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN M. LYNCHCredential: PA-C
Location Address3825 EDWARDS RD, SUITE 300Cincinnati, OH 45209-1287
Mailing AddressPo Box 643398Cincinnati, OH 45264-3398 · (513) 221-1100 · Fax (513) 569-5297
Fax(513) 569-5297
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 22, 2016
NPI 1427004795 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 OH · 50001314
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.
3825 EDWARDS RD, Cincinnati, OH 45209

Other Identifiers 2

Medicare PINH140730OH
Medicare UPINQ15666OH

Accepted Insurance

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 M. Lynch 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 ID840275160
PECOS Enrollment IDI20040621001985
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 6

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.
754 services294 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.
258 services170 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
82 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services52 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
14 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45209 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Neurological Surgery
3825 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209
Neurological Surgery
3825 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209
Neurological Surgery
3825 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209
Neurological Surgery
3825 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209
Physical Therapist
3825 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209
Physical Medicine & Rehabilitation
3825 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209
Physical Therapist
3825 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209
Neurological Surgery
3825 EDWARDS RD, SUITE 300
CINCINNATI, OH 45209

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 Lynch's NPI number?

The NPI number for Sean Lynch is 1427004795. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Sean Lynch located?

Sean Lynch practices at 3825 Edwards Rd Suite 300, Cincinnati, OH 45209. The listed phone number is (513) 221-1100.

What is Sean Lynch's specialty?

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

Is Sean Lynch enrolled in Medicare?

Yes. Sean Lynch 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.

What insurance does Sean Lynch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 2 other insurers list Sean Lynch 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 Lynch affiliated with any hospitals?

According to CMS data, Sean Lynch is affiliated with The Jewish Hospital-Mercy Health, Good Samaritan Hospital, Christ Hospital, Bethesda North and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Sean Lynch was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.