DR. SEAN S. MICHAEL MD
NPI 1689931131
Emergency Medicine in Aurora, CO

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12401 E 17TH AVE, AURORA, CO 80045(720) 848-6777 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 12, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Sean S. Michael Md NPPES

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

DR. SEAN S. MICHAEL MD (NPI 1689931131) is an individual emergency medicine provider in Aurora, Colorado, licensed in Colorado (DR.0058463) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of University Of Colorado School Of Medicine, Denver (2012).

NPPES Registry Identity

NPI1689931131
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SEAN S. MICHAELCredential: MD
Location Address12401 E 17TH AVEAurora, CO 80045-2548
Mailing Address12401 E 17th Ave, Mail Stop B-215Aurora, CO 80045 · (720) 848-6777
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2012
Enumeration DateApril 20, 2012
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1689931131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CO · DR.0058463 Licensed in MA · 261853
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.

12401 E 17TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 155 Lake Ave N, Department of Emergency MedicineWorcester, MA 01655-0002 · Phone (508) 421-1400 · Fax (508) 421-1490

Other Identifiers 1

Medicaid110102956AMA

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

Dr. Sean S. Michael 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 ID8921312737
PECOS Enrollment IDI20170808003225
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.
42 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 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.
15 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12401 E 17TH AVE
AURORA, CO 80045
Emergency Medicine
12401 E 17TH AVE, B215
AURORA, CO 80045
Emergency Medicine
12401 E 17TH AVE
AURORA, CO 80045
Physician Assistant
12401 E 17TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12401 E 17TH AVE, FLOOR #7
AURORA, CO 80045
Anesthesiologist Assistant
12401 E 17TH AVE
AURORA, CO 80045
Internal Medicine (Hematology & Oncology)
12401 E 17TH AVE
AURORA, CO 80045
Social Worker (Clinical)
12401 E 17TH AVE
AURORA, CO 80045

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 Michael's NPI number?

The NPI number for Sean Michael is 1689931131. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Sean Michael located?

Sean Michael practices at 12401 E 17th Ave, Aurora, CO 80045. The listed phone number is (720) 848-6777.

What is Sean Michael's specialty?

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

Is Sean Michael enrolled in Medicare?

Yes. Sean Michael 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 Michael accept?

Health plans from Medica list Sean Michael 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 Michael was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.