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DR. SEAN PATRICK FULLAN M.D.
NPI 1669791166
Pediatrics in Champaign, IL

Active since May 24, 2010PECOS Enrolled
1701 W. CURTIS ROAD, CHAMPAIGN, IL 61822(217) 365-6202(217) 326-0188 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sean Patrick Fullan M.d. NPPES

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

DR. SEAN PATRICK FULLAN M.D. (NPI 1669791166) is an individual pediatrics provider in Champaign, Illinois, licensed in Illinois (036133135) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669791166
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SEAN PATRICK FULLANCredential: M.D.
Location Address1701 W. CURTIS ROADChampaign, IL 61822-9678
Mailing Address611 W Park StUrbana, IL 61801-2501 · (217) 326-8630 · Fax (314) 577-5616
Phone(217) 365-6202
Fax(217) 326-0188
Sole ProprietorNo
Enumeration DateMay 24, 2010
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1669791166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036133135
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1701 W. CURTIS ROAD, Champaign, IL 61822
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sean Patrick Fullan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Fullan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group
4.6 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Mercy Clinic East Communities
151 mi
Family Medicine
615 S NEW BALLAS RD, ADMINISTRATION BUILDING, 5TH FLOOR
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 744 clinicians in this Medicare group
NPI 1043574940 (314) 251-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61822 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.

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.

ANDREA R KLEIN PHD
Psychologist (Clinical)
1701 W. CURTIS ROAD, PSYCHOLOGY
CHAMPAIGN, IL 61822
Champaign County (217) 365-6206
NASREEN SYED MD
Internal Medicine
1701 W. CURTIS ROAD, ADULT MEDICINE
CHAMPAIGN, IL 61822
Champaign County (217) 365-6207
INES O BAQUERO MD
Obstetrics & Gynecology
1701 W. CURTIS ROAD, OB/GYN
CHAMPAIGN, IL 61822
Champaign County (217) 365-8208
ABIGAIL ADAMS M.D.
Internal Medicine
1701 W. CURTIS ROAD
CAMPAIGN, IL 61822
Champaign County (217) 365-6201
MARK S MUSSELMAN M.D.
Pediatrics (Pediatric Hematology-Oncology)
1701 W. CURTIS ROAD, PEDIATRICS
CHAMPAIGN, IL 61822
Champaign County (217) 365-6202
DAWN K MCCOY MD
Family Medicine
1701 W. CURTIS ROAD, FAMILY MEDICINE/CONVENIENT CARE
CHAMPAIGN, IL 61822
Champaign County (217) 365-6201
JAMES E HAUFFE MD
Pediatrics
1701 W. CURTIS ROAD, PEDIATRICS
CHAMPAIGN, IL 61822
Champaign County (217) 365-6202
KEITH B WHITE PHD
Psychologist (Clinical)
1701 W. CURTIS ROAD, PSYCHOLOGY
CHAMPAIGN, IL 61822
Champaign County (217) 365-6206

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 Fullan's NPI number?

The NPI number for Sean Fullan is 1669791166. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Where is Sean Fullan located?

Sean Fullan practices at 1701 W. Curtis Road, Champaign, IL 61822. The listed phone number is (217) 365-6202.

What is Sean Fullan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sean Fullan enrolled in Medicare?

Yes. Sean Fullan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sean Fullan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Fullan reassigns Medicare benefits to 2 organizations: Carle Health Medical Group (Urbana, IL) and Mercy Clinic East Communities (Saint Louis, MO). 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 Fullan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Fullan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Sean Fullan 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.

When was this NPI record last updated?

The NPPES record for Sean Fullan was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.