SEAN RUSSELL
NPI 1619399300
Physician Assistant in Raleigh, NC

Active since January 14, 2014PECOS EnrolledAccepts Medicare Assignment
65.58/100
CMS Quality Rating
5838 SIX FORKS RD STE 100, RALEIGH, NC 27609(919) 785-3400(919) 783-7778 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2024, Dec 19, 2022, Apr 8, 2021 (3 updates tracked since 2021).

About Sean Russell NPPES

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

SEAN RUSSELL (NPI 1619399300) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-04739) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619399300
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN RUSSELL
Location Address5838 SIX FORKS RD STE 100Raleigh, NC 27609-3893
Mailing AddressPo Box 52411Phoenix, AZ 85072-2411 · (919) 785-3400 · Fax (919) 783-7778
Fax(919) 783-7778
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 14, 2014
Last NPPES UpdateOctober 24, 20253 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
NPI 1619399300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-04739
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5838 SIX FORKS RD STE 100, Raleigh, NC 27609

Secondary Practice Locations 2

Location 110010 Falls Of Neuse RdRaleigh, NC 27614-8494 · Phone (919) 714-6184 · Fax (919) 232-5021
Location 23009 New Bern AveRaleigh, NC 27610-1214 · Phone (919) 232-5021

Accepted 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 Russell 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 ID7214160266
PECOS Enrollment IDI20140429000857
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 6

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 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.
56 services45 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
33 services33 patients
Removal of spine bone for insertion of neurostimulator electrode plate in spine 63655
This procedure involves removing a small part of the spine bone to place a neurostimulator electrode plate. This device can help manage pain signals from the spine to the brain, improving comfort and quality of life. The process is performed by skilled surgeons in a safe environment.
22 services22 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.
18 services18 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.
17 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

65.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.35
Promoting Interoperability100
Improvement Activities40
Cost37.94

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Surgical)
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant (Surgical)
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Nurse Practitioner
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Neurological Surgery
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Neurological Surgery
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609

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 Russell's NPI number?

The NPI number for Sean Russell is 1619399300. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Sean Russell located?

Sean Russell practices at 5838 Six Forks Rd Ste 100, Raleigh, NC 27609. The listed phone number is (919) 785-3400.

What is Sean Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sean Russell enrolled in Medicare?

Yes. Sean Russell 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 Russell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Sean Russell 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 Russell affiliated with any hospitals?

According to CMS data, Sean Russell is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Sean Russell was last updated on October 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.