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SEAN R LINDSEY M.D.
NPI 1437418829
Internal Medicine in Clarkston, GA

Active since May 07, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
4122 E PONCE DE LEON AVE STE 5, CLARKSTON, GA 30021(470) 799-0044(470) 799-0045 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2019, Feb 20, 2019 (2 updates tracked since 2019).

About Sean R Lindsey M.d. NPPES

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

SEAN R LINDSEY M.D. (NPI 1437418829) is an individual internal medicine provider in Clarkston, Georgia, licensed in Georgia (078484) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of University Of Kentucky College Of Medicine (2012).

NPPES Registry Identity

NPI1437418829
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEAN R LINDSEYCredential: M.D.
Location Address4122 E PONCE DE LEON AVE STE 5Clarkston, GA 30021-1838
Mailing AddressPo Box 1157Clarkston, GA 30021-7157
Phone(470) 799-0044
Fax(470) 799-0045
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2012
Enumeration DateMay 7, 2012
Last NPPES UpdateNovember 26, 20192 updates tracked since enumeration
✔ NPI 1437418829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 078484✔ Licensed in TN · 54503
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 ListedPediatricsTaxonomy 208000000X · License 078484 (GA), 54503 (TN)
4122 E PONCE DE LEON AVE STE 5, Clarkston, GA 30021
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Other Identifiers 1

Medicaid003194779FGA

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 R Lindsey 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 ID1355634379
PECOS Enrollment IDI20171221000555
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 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.
115 services48 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.
115 services70 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.
44 services42 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.
41 services40 patients
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.
25 services12 patients

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30021 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
25%44 patients2/55-star benchmark: 93%
Cervical Cancer Screening
28%104 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
28%125 patients2/55-star benchmark: 88%
Diabetes: Eye Exam
4%46 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%46 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
81%538 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%304 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
21%311 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 25% · 244 patients
22%244 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%66 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$14.26 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
1 supplier17 claims17 services$62.45 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.

ETHNE HEALTH
Clinic/Center (Dental)
4122 E PONCE DE LEON AVE STE 5
CLARKSTON, GA 30021
Dekalb County (470) 799-0044

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 Lindsey's NPI number?

The NPI number for Sean Lindsey is 1437418829. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Where is Sean Lindsey located?

Sean Lindsey practices at 4122 E Ponce De Leon Ave Ste 5, Clarkston, GA 30021. The listed phone number is (470) 799-0044.

What is Sean Lindsey's specialty?

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

Is Sean Lindsey enrolled in Medicare?

Yes. Sean Lindsey 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 Lindsey affiliated with any hospitals?

According to CMS data, Sean Lindsey is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Sean Lindsey was last updated on November 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.