DR. SEAN ANTHONY MAIOLO MD
NPI 1487147682
Family Medicine in Prescott, AZ

Active since June 12, 2018Opted out of Medicare · through Dec 27, 2026
302 W WILLIS ST STE 107, PRESCOTT, AZ 86301(928) 460-2920 Get Directions Write a Review

NPPES record last updated: March 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2025, Jun 10, 2024, Aug 21, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Sean Anthony Maiolo Md NPPES

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

DR. SEAN ANTHONY MAIOLO MD (NPI 1487147682) is an individual family medicine provider in Prescott, Arizona, licensed in Arizona (65938) and active in the NPI registry since June 2018. He has opted out of Medicare through December 27, 2026 and remains eligible to order and refer and maintains a secondary practice location in Prescott.

NPPES Registry Identity

NPI1487147682
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEAN ANTHONY MAIOLOCredential: MD
Location Address302 W WILLIS ST STE 107Prescott, AZ 86301-3032
Mailing AddressPo Box 4054Prescott, AZ 86302-4054 · (928) 460-2920
Sole ProprietorYes
Enumeration DateJune 12, 2018
Last NPPES UpdateMarch 23, 20254 updates tracked since enumeration
NPPES CertifiedMarch 23, 2025
NPI 1487147682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 65938
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.
302 W WILLIS ST STE 107, Prescott, AZ 86301

Secondary Practice Location 1

Location 1PO Box 4054Prescott, AZ 86302-4054 · Phone (928) 710-0094

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Sean Anthony Maiolo Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 27, 2024 through December 27, 2026.

Opt-Out Effective DateDecember 27, 2024
Opt-Out In Effect ThroughDecember 27, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Maiolo's NPI number?

The NPI number for Sean Maiolo is 1487147682. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Sean Maiolo located?

Sean Maiolo practices at 302 W Willis St Ste 107, Prescott, AZ 86301. The listed phone number is (928) 460-2920.

What is Sean Maiolo's specialty?

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

Is Sean Maiolo enrolled in Medicare?

No. Sean Maiolo has opted out of Medicare through December 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sean Maiolo was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.