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SEAN KIRBY DEGMETICH STUDENT
NPI 1518344878
Surgery - Trauma Surgery in Modesto, CA

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment
600 COFFEE RD, MODESTO, CA 95355(209) 569-7408 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Kirby Degmetich Student NPPES

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

SEAN KIRBY DEGMETICH STUDENT (NPI 1518344878) is an individual trauma surgery provider in Modesto, California, licensed in California (A146573) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Moreno Valley, and is a graduate of Medical College Of Wisconsin (2015).

NPPES Registry Identity

NPI1518344878
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameSEAN KIRBY DEGMETICHCredential: STUDENT
Location Address600 COFFEE RDModesto, CA 95355-4201
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Phone(209) 569-7408
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2015
Enumeration DateMay 6, 2015
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1518344878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in CA · A146573
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
600 COFFEE RD, Modesto, CA 95355
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Secondary Practice Location 1

Location 126520 Cactus AveMoreno Valley, CA 92555-3927 · Phone (951) 486-4397

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Kirby Degmetich Student 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 ID7618338195
PECOS Enrollment IDI20230731003354
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sean Degmetich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Valley Medical Foundation
Same address
Multi-Specialty
600 COFFEE RD
Modesto, CA 95355
NPI 1669846986 (209) 524-1211
Surgical Associates Inc
1.1 mi
Trauma Surgery
1700 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
NPI 1366824161 (209) 661-4403

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
140 services135 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.
15 services14 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services11 patients

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.

RADHA CHIRUMAMILLA M.D.
Hospitalist
600 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 524-1211
CYRUS M RABII MD
Emergency Medicine
600 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 521-6097
RONALD D. JENSEN DPM
Podiatrist
600 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 524-1211
WALLACE B CARROLL MD
Allergy & Immunology (Allergy)
600 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 524-1211
PALLAVI SHARMA MD
Family Medicine
600 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 521-6097
SWE THAN M.D.,PH.D
Internal Medicine
600 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 550-4702
VIVIAN L TAN M.D.
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 524-1211
KENNETH IMANAKA MD
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 524-1211

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 Degmetich's NPI number?

The NPI number for Sean Degmetich is 1518344878. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Sean Degmetich located?

Sean Degmetich practices at 600 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 569-7408.

What is Sean Degmetich's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Sean Degmetich enrolled in Medicare?

Yes. Sean Degmetich 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.

Which organizations bill Medicare for Sean Degmetich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Degmetich reassigns Medicare benefits to 2 organizations: Sutter Valley Medical Foundation (Modesto, CA) and Surgical Associates Inc (Modesto, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Degmetich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sean Degmetich was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.