1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Family Medicine
  6. NPI Profile

SEAN T HEARN MD
NPI 1477516425
Family Medicine in Saint Paul, MN

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
150 EMERSON AVE E, SAINT PAUL, MN 55118(651) 241-1800 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sean T Hearn Md NPPES

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

SEAN T HEARN MD (NPI 1477516425) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (35931) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1991).

NPPES Registry Identity

NPI1477516425
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN T HEARNCredential: MD
Location Address150 EMERSON AVE ESaint Paul, MN 55118-2535
Mailing AddressPo Box 43, Mr 10860Minneapolis, MN 55440-0043 · (612) 262-1166 · Fax (612) 262-9035
Phone(651) 241-1800
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1991
Enumeration DateApril 10, 2006
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
✔ NPI 1477516425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 35931
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.
150 EMERSON AVE E, Saint Paul, MN 55118
Open in Google Maps ↗

Other Identifiers 1

Medicaid236905200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 T Hearn 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 ID1052304854
PECOS Enrollment IDI20231009000078
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 3

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.
237 services130 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.
101 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Presbyterian Santa Fe Medical Center

Acute Care Hospitals · Santa Fe, NM
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320090
Location4801 Beckner RoadSanta Fe, NM 87507 · Santa Fe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55118 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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
8 suppliers24 claims45 services$5.19 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,950 services$1.66 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
1 supplier12 claims24 services$9.12 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5056
DME-Orthotic Devices · category DF010N
1 supplier12 claims115 services$4.05 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.57 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 20

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

LAURA HURLEY
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
DR. SIMON NICHOLAS FENTON MD
Family Medicine
150 EMERSON AVE E
SAINT PAUL, MN 55118
Dakota County (651) 241-1800
ALLINA HEALTH SYSTEM
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
CAROLYN J BOROW MD
Family Medicine
150 EMERSON AVE E
SAINT PAUL, MN 55118
Dakota County (651) 552-3800
DR. MELISSA BAUGHMAN DO
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
MARY THERESA MCGUIRE CLARK CNP
Nurse Practitioner (Family)
150 EMERSON AVE E
WEST SAINT PAUL, MN 55118
Dakota County (651) 241-1800
DR. BRIAN DAVID KANTER M.D.
Military Health Care Provider
150 EMERSON AVE E, ALLINA WEST ST. PAUL
WEST ST PAUL, MN 55118
Dakota County (612) 467-1100
EMMA S OSTBY MD
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800

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 Hearn's NPI number?

The NPI number for Sean Hearn is 1477516425. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Sean Hearn located?

Sean Hearn practices at 150 Emerson Ave E, Saint Paul, MN 55118. The listed phone number is (651) 241-1800.

What is Sean Hearn's specialty?

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

Is Sean Hearn enrolled in Medicare?

Yes. Sean Hearn 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 Hearn accept?

Health plans from UnitedHealthcare list Sean Hearn 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 Hearn affiliated with any hospitals?

According to CMS data, Sean Hearn is affiliated with Presbyterian Hospital and Presbyterian Santa Fe Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Hearn was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.