SEAN L. FRANCIS MD
NPI 1821108200
Obstetrics & Gynecology in Louisville, KY

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202(502) 271-5999(502) 271-5994 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean L. Francis Md NPPES

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

SEAN L. FRANCIS MD (NPI 1821108200) is an individual obstetrics & gynecology provider in Louisville, Kentucky, licensed in Kentucky (45249) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1995).

NPPES Registry Identity

NPI1821108200
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSEAN L. FRANCISCredential: MD
Location Address401 E CHESTNUT ST, SUITE 410Louisville, KY 40202-5700
Mailing Address550 S Jackson St, Acb/2nd FlLouisville, KY 40202-1622 · (502) 561-8850 · Fax (502) 561-8851
Fax(502) 271-5994
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1995
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 6, 2012
✔ NPI 1821108200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in KY · 45249✔ Licensed in GA · 043048
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X · License 45249 (KY)
401 E CHESTNUT ST, Louisville, KY 40202

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean L. Francis 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 ID4486719929
PECOS Enrollment IDI20120718000663
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 Reassignment

Medicare enrollment records show Sean Francis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurology
401 E CHESTNUT ST, SUITE 510
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 11

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
52 services52 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.
50 services50 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.
43 services37 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
30 services26 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
16 services15 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729
This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers21 claims3,905 services$1.50 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.

Psychiatry & Neurology (Neurology)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Colon & Rectal Surgery
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Surgery (Surgical Critical Care)
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
401 E CHESTNUT ST, STE #310
LOUISVILLE, KY 40202
Psychiatry & Neurology (Psychiatry)
401 E CHESTNUT ST, SUITE 610
LOUISVILLE, KY 40202
Occupational Therapist (Neurorehabilitation)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Surgery (Trauma Surgery)
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Psychiatry & Neurology (Neurology)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

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 Francis's NPI number?

The NPI number for Sean Francis is 1821108200. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Sean Francis located?

Sean Francis practices at 401 E Chestnut St Suite 410, Louisville, KY 40202. The listed phone number is (502) 271-5999.

What is Sean Francis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sean Francis enrolled in Medicare?

Yes. Sean Francis 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.

Which organization bills Medicare for Sean Francis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Francis reassigns Medicare benefits to University Of Louisville Physicians, Inc. (Louisville, KY). The 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 Francis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Francis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sean Francis 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 Francis affiliated with any hospitals?

According to CMS data, Sean Francis is affiliated with Jewish Hospital & St Mary's Healthcare, Baptist Health Louisville and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Sean Francis was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.