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DR. SEAN E MCCAIN MD
NPI 1629050307
Family Medicine in Marion, IL

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
60.99/100
CMS Quality Rating
3411 PROFESSIONAL PARK DRIVE, MARION, IL 62959(618) 997-2161(618) 997-2420 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sean E Mccain Md NPPES

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

DR. SEAN E MCCAIN MD (NPI 1629050307) is an individual family medicine provider in Marion, Illinois and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1629050307
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEAN E MCCAINCredential: MD
Location Address3411 PROFESSIONAL PARK DRIVEMarion, IL 62959-6394
Mailing Address3411 Professional Park DriveMarion, IL 62959-6394 · (618) 997-2161 · Fax (618) 997-2420
Phone(618) 997-2161
Fax(618) 997-2420
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 17, 2005
Last NPPES UpdateOctober 17, 2007
✔ NPI 1629050307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
3411 PROFESSIONAL PARK DRIVE, Marion, IL 62959
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Other Identifiers 3

Medicare UPINH72366
OtherP00401574Rr Medicare
Medicare PINK24981IL

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

Dr. Sean E Mccain 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 ID3577553130
PECOS Enrollment IDI20060208000415
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

4

Medicare enrollment records show Sean Mccain reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Statera Health Care, LLC
24 mi
Emergency Medicine
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 169 clinicians in this Medicare group
NPI 1043874449 (618) 833-1691
Integrated Health Of Southern Illinois, Ltd.
25 mi
Sports Medicine
303 S COMMERCIAL ST, STE 10
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
NPI 1982738274 (618) 252-5555
Wabash General Hospital District
68 mi
Rural Health
26 E ELM ST
Albion, IL 62806
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1689148892 (618) 375-7101
Integritas Emergency Physician Services LLC
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
No phone listed

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.

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.
112 services48 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.
94 services40 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

Hospital Affiliations CMS Care Compare 3

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

60.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.42
Promoting Interoperability81
Improvement Activities40
Cost17.59

Other Providers at the Same Location NPPES

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

NICOLE LYNETTE KENNEDY MD
Family Medicine
3411 PROFESSIONAL PARK DRIVE, SIMCA
MARION, IL 62959
Williamson County (618) 997-2161

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 Mccain's NPI number?

The NPI number for Sean Mccain is 1629050307. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Sean Mccain located?

Sean Mccain practices at 3411 Professional Park Drive, Marion, IL 62959. The listed phone number is (618) 997-2161.

What is Sean Mccain's specialty?

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

Is Sean Mccain enrolled in Medicare?

Yes. Sean Mccain 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 Mccain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Mccain reassigns Medicare benefits to 4 organizations: Statera Health Care, LLC (Harrisburg, IL), Integrated Health Of Southern Illinois, Ltd. (Harrisburg, IL), Wabash General Hospital District (Albion, IL) and Integritas Emergency Physician Services LLC (IL). 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 Mccain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Mccain affiliated with any hospitals?

According to CMS data, Sean Mccain is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale and Heartland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Mccain was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.