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SEAN SERIO MD
NPI 1558725358
Emergency Medicine in Jefferson Hills, PA

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025(412) 469-5000 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2020, Feb 7, 2020, Jul 8, 2019 (3 updates tracked since 2019).

About Sean Serio Md NPPES

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

SEAN SERIO MD (NPI 1558725358) is an individual emergency medicine provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (MD467389) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558725358
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSEAN SERIOCredential: MD
Location Address565 COAL VALLEY RDJefferson Hills, PA 15025-3703
Mailing Address120 S 15th St Apt 301Pittsburgh, PA 15203-1661 · (786) 201-5086
Phone(412) 469-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateFebruary 10, 20203 updates tracked since enumeration
✔ NPI 1558725358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD467389✔ Licensed in FL · ME142616
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
565 COAL VALLEY RD, Jefferson Hills, PA 15025
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Secondary Practice Locations 2

Location 1320 E North AvePittsburgh, PA 15212-4756 · Phone (412) 359-4905
Location 28900 N Kendall DrMiami, FL 33176-2197 · Phone (786) 596-1960

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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 Serio 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 ID1254629884
PECOS Enrollment IDI20200623002784
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
398 services365 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.
81 services79 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services61 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

ALYSSA L BERNSTEIN NP
Nurse Practitioner
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (860) 395-7848
JEFFERSON REGIONAL MEDICAL CENTER
Rehabilitation Unit
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 469-5000
MRS. VICTORIA L RILEY CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
EMILY PAIGE MCDOWELL CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
SANGEETA LAKSHMI KOMERALLY M.D
Hospitalist
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 267-6810
ADAM A BARONE CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
MICHAEL BRADLEY SMALL DO
Hospitalist
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 267-6810
MS. NICOLE MARIE DE GORTARI CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000

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 Serio's NPI number?

The NPI number for Sean Serio is 1558725358. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Sean Serio located?

Sean Serio practices at 565 Coal Valley Rd, Jefferson Hills, PA 15025. The listed phone number is (412) 469-5000.

What is Sean Serio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sean Serio enrolled in Medicare?

Yes. Sean Serio 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 Serio accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sean Serio 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 Serio affiliated with any hospitals?

According to CMS data, Sean Serio is affiliated with Baptist Hospital Of Miami and Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Sean Serio was last updated on February 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.