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SEAN C KERBY M.D.
NPI 1730268939
Family Medicine in Gulfport, MS

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
12261 HIGHWAY 49, SUITE 11, GULFPORT, MS 39503(228) 867-5185(228) 867-5189 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sean C Kerby M.d. NPPES

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

SEAN C KERBY M.D. (NPI 1730268939) is an individual family medicine provider in Gulfport, Mississippi, licensed in Mississippi (20062) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Merit Health Biloxi, and is a graduate of University Of South Alabama College Of Medicine (1997).

NPPES Registry Identity

NPI1730268939
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN C KERBYCredential: M.D.
Location Address12261 HIGHWAY 49, SUITE 11Gulfport, MS 39503-2975
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 865-1453 · Fax (228) 865-1457
Phone(228) 867-5185
Fax(228) 867-5189
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1997
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 10, 2014
✔ NPI 1730268939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MS · 20062✔ Licensed in TN · 34974
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.
12261 HIGHWAY 49, Gulfport, MS 39503
Open in Google Maps ↗

Other Identifiers 11

Medicare UPINH22703TN
Medicaid3861661TN
Medicare ID-Type Unspecified3732438TN
Medicare PIN512I080277MS
OtherP00344233TN · Rr Medicare
Medicare UPINH22703MS
Other4114136TN · Bcbst
Medicaid07885561MS
OtherDE2565TN · Rr Medicare Group
Medicare PIN512I110148MS
Medicare PIN302I115945MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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

Sean C Kerby M.d. 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 ID7214950963
PECOS Enrollment IDI20080422000650
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 9

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 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.
643 services275 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
385 services45 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
252 services251 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
252 services252 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
246 services246 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
238 services238 patients

Hospital Affiliations CMS Care Compare 2

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

Merit Health Biloxi

Acute Care Hospitals · Biloxi, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250007
Location150 Reynoir StreetBiloxi, MS 39530 · Harrison County
Emergency services Birthing friendly

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
11 suppliers39 claims96 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims22 services$1.15 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$13.89 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier14 claims14 services$174.16 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 6

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

MEMORIAL HOSPITAL AT GULFPORT
Family Medicine
12261 HIGHWAY 49, SUITE 11 F
GULFPORT, MS 39503
Harrison County (228) 867-5185
MEMORIAL HOSPITAL AT GULFPORT
Allergy & Immunology
12261 HIGHWAY 49
GULFPORT, MS 39503
Harrison County (228) 867-5185
DR. NYRON T MARSHALL M.D.
Internal Medicine
12261 HIGHWAY 49, SUITE 11
GULFPORT, MS 39503
Harrison County (228) 575-2176
MRS. BARBARA L. KERBY N.P.
Nurse Practitioner (Family)
12261 HIGHWAY 49, STE 11
GULFPORT, MS 39503
Harrison County (228) 867-5185
MADELENA CAMPBELL RN, CPNP-BC, CPN
Nurse Practitioner (Pediatrics)
12261 HIGHWAY 49, SUITE 11
GULFPORT, MS 39503
Harrison County (228) 867-5185
GULFPORT WELLNESS CENTER INC
Clinic/Center
12261 HIGHWAY 49, SUITE 6
GULFPORT, MS 39503
Harrison County (228) 206-0542

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 Kerby's NPI number?

The NPI number for Sean Kerby is 1730268939. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Sean Kerby located?

Sean Kerby practices at 12261 Highway 49 Suite 11, Gulfport, MS 39503. The listed phone number is (228) 867-5185.

What is Sean Kerby's specialty?

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

Is Sean Kerby enrolled in Medicare?

Yes. Sean Kerby 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 Kerby accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Sean Kerby 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 Kerby affiliated with any hospitals?

According to CMS data, Sean Kerby is affiliated with Merit Health Biloxi and Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for Sean Kerby was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.