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DR. SEAN R. KOHL MD
NPI 1629068325
Family Medicine in Albion, NE

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
1019 S 8TH ST, BOONE COUNTY HEALTH CENTER, ALBION, NE 68620(402) 395-5013(402) 395-2327 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sean R. Kohl Md NPPES

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

DR. SEAN R. KOHL MD (NPI 1629068325) is an individual family medicine provider in Albion, Nebraska, licensed in Nebraska (NE22341) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2001).

NPPES Registry Identity

NPI1629068325
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEAN R. KOHLCredential: MD
Location Address1019 S 8TH ST, BOONE COUNTY HEALTH CENTERAlbion, NE 68620-1760
Mailing AddressPo Box 350, Boone County Health CenterAlbion, NE 68620-0350 · (402) 395-5013 · Fax (402) 395-2327
Phone(402) 395-5013
Fax(402) 395-2327
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2001
Enumeration DateOctober 24, 2005
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1629068325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NE · NE22341✔ Licensed in NE · 22341✔ Licensed in NE · 19365
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.
1019 S 8TH ST, Albion, NE 68620
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Other Identifiers 2

Other04360NE · Blue Cross Blue Shield
Other242156NE · Midlands Choice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Sean R. Kohl 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 ID5395704159
PECOS Enrollment IDI20041007000167
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
29 services21 patients

Hospital Affiliations CMS Care Compare 3

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Boone County Health Center

Critical Access Hospitals · Albion, NE
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number281334
LocationP O Box 151, 723 West Fairview StAlbion, NE 68620 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68620 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers21 claims40 services$6.03 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers41 claims41 services$41.93 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
3 suppliers13 claims130 services$2.63 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers18 claims18 services$106.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers30 claims84 services$40.63 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers19 claims70 services$24.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MRS. KELLI M RAY PA-C
Physician Assistant
1019 S 8TH ST
ALBION, NE 68620
Boone County (402) 395-5013
COURTNEY S RUZEK PA-C
Physician Assistant
1019 S 8TH ST
ALBION, NE 68620
Boone County (402) 395-5013
DR. JOEL A TRAVIS MD
Family Medicine
1019 S 8TH ST
ALBION, NE 68620
Boone County (402) 395-5013
BRIDGETTE L. PUDWILL M.D.
Family Medicine
1019 S 8TH ST
ALBION, NE 68620
Boone County (402) 395-5013
JASON JAMES OLNES PA-C
Physician Assistant
1019 S 8TH ST
ALBION, NE 68620
Boone County (402) 395-5013

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 Kohl's NPI number?

The NPI number for Sean Kohl is 1629068325. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Sean Kohl located?

Sean Kohl practices at 1019 S 8th St Boone County Health Center, Albion, NE 68620. The listed phone number is (402) 395-5013.

What is Sean Kohl's specialty?

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

Is Sean Kohl enrolled in Medicare?

Yes. Sean Kohl 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 Kohl accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Sean Kohl 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 Kohl affiliated with any hospitals?

According to CMS data, Sean Kohl is affiliated with The Nebraska Medical Center, Faith Regional Health Services and Boone County Health Center.

When was this NPI record last updated?

The NPPES record for Sean Kohl was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.