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SEAN STOKES MD
NPI 1437576402
Surgery - Surgical Oncology in Lexington, KY

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
94.21/100
CMS Quality Rating
1760 NICHOLASVILLE RD STE 202, LEXINGTON, KY 40503(859) 277-5711(859) 967-1773 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sean Stokes Md NPPES

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

SEAN STOKES MD (NPI 1437576402) is an individual surgical oncology provider in Lexington, Kentucky, licensed in Kentucky (57654) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437576402
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameSEAN STOKESCredential: MD
Location Address1760 NICHOLASVILLE RD STE 202Lexington, KY 40503-1472
Mailing Address1760 Nicholasville Rd Ste 202Lexington, KY 40503-1472 · (859) 277-5711 · Fax (859) 967-1773
Phone(859) 277-5711
Fax(859) 967-1773
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1437576402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in KY · 57654
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
1760 NICHOLASVILLE RD STE 202, Lexington, KY 40503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Stokes 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 ID7517260656
PECOS Enrollment IDI20230928000524
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 8

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services23 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.
33 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
27 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 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.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

94.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.28
Improvement Activities40
Cost93.67

Other Providers at the Same Location NPPES 4

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

DR. GUSTAVO VINCENT HUERTA M.D.
Surgery
1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711
MR. WILLIAM SAVAGE WITT
Surgery
1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711
LEXINGTON SURGICAL SPECIALISTS
Surgery
1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711
ANDREA MAE MARCHYN
Physician Assistant
1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711

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 Stokes's NPI number?

The NPI number for Sean Stokes is 1437576402. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Sean Stokes located?

Sean Stokes practices at 1760 Nicholasville Rd Ste 202, Lexington, KY 40503. The listed phone number is (859) 277-5711.

What is Sean Stokes's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Sean Stokes enrolled in Medicare?

Yes. Sean Stokes 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 Stokes accept?

Health plans from Anthem Blue Cross and Blue Shield list Sean Stokes 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 Stokes affiliated with any hospitals?

According to CMS data, Sean Stokes is affiliated with Baptist Health Corbin and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Sean Stokes was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.