MR. SEAN MICHAEL POWELL PA-C
NPI 1699715821
Physician Assistant in St Augustine, FL

Q: What is Sean Powell's NPI number?

The NPI number for Sean Powell is 1699715821. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Sean Powell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Powell was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment

87.99/100

CMS Quality Rating

45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 32086(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Nov 8, 2023, Jan 9, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Mr. Sean Michael Powell Pa-c NPPES

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

MR. SEAN MICHAEL POWELL PA-C (NPI 1699715821) is an individual physician assistant in St Augustine, Florida, licensed in Florida (PA9103276) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1699715821

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. SEAN MICHAEL POWELLCredential: PA-C

Location Address45 GROOVER LOOP STE 201St Augustine, FL 32086-6586

Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 209-1055

Phone(904) 634-0640

Fax(904) 634-0203

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 7, 2006

Last NPPES UpdateJuly 28, 20254 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1699715821 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 FL · PA9103276

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.

45 GROOVER LOOP STE 201, St Augustine, FL 32086

Open in Google Maps ↗

Secondary Practice Locations 10

Location 110475 Centurion Pkwy N Ste 220Jacksonville, FL 32256-5004 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 215255 Max Legget Pkwy Ste 5300Jacksonville, FL 32218-7274 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 33055 County Road 210 W Ste 110St Johns, FL 32259-7001 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 42 Shircliff Way Ste 605Jacksonville, FL 32204-4762 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 51690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 6232 Ponte Vedra Park DrPonte Vedra Beach, FL 32082-6600 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 74565 US Highway 17 Ste 200Fleming Island, FL 32003-4823 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 82627 Riverside Ave Ste 300Jacksonville, FL 32204-4717 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 94268 Oldfield Crossing Dr Ste 201Jacksonville, FL 32223-8800 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 10216 Southpark Cir E Ste 216St Augustine, FL 32086-5135 · Phone (904) 634-0640 · Fax (904) 634-0203

Other Identifiers 1

Medicaid115920100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Mr. Sean Michael Powell Pa-c 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 ID9335185115

PECOS Enrollment IDI20050701000252

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 14

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

7,248 services101 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

2,245 services289 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

629 services312 patients

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.

628 services451 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

332 services261 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.

276 services236 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

221 services195 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

117 services102 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

56 services55 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

46 services44 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.

45 services45 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.

39 services39 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

25 services21 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

19 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100361

Location205 Trinity WaySt Johns, FL 32259 · St. Johns County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

87.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

78.71

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%562 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%255 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

54%208 patients3/55-star benchmark: 87%

Diabetes: Eye Exam

0%27 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

93%27 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%2,253 patients4/55-star benchmark: 100%

e-Prescribing

99%976 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%1,057 patients1/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

25%28 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

95%1,526 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%1,524 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%2,206 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 1,458 patients

Patients screened: 98% · 1,458 patients

97%106 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

88%1,080 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

1%614 patients1/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84%31 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,100 patients

Patients totalRate: 1% · 1,100 patients

0%1,100 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier30 claims30 services$43.25 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 20

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

BRITTYN HAMER PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ASHLEIGH ELIZABETH MAYA PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

MATTHEW MONTGOMERY PA-C

Physician Assistant

45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

AHMED SALEH MD

Orthopaedic Surgery

45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ERIC G KIM DO

Orthopaedic Surgery

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

DR. KURTIS R HORT MD

Orthopaedic Surgery

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

KENDRA M BEATON PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

NOLAN A GALL MD

Physical Medicine & Rehabilitation (Pain Medicine)

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

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 Powell's NPI number?

The NPI number for Sean Powell is 1699715821. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Sean Powell located?

Sean Powell practices at 45 Groover Loop Ste 201, St Augustine, FL 32086. The listed phone number is (904) 634-0640.

What is Sean Powell's specialty?

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

Is Sean Powell enrolled in Medicare?

Yes. Sean Powell 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 Powell accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Sean Powell 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 Powell affiliated with any hospitals?

According to CMS data, Sean Powell is affiliated with Flagler Hospital and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Sean Powell was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.