DR. SEAN D STILTNER DO
NPI 1821156472
Family Medicine in Waverly, OH

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
810 W 2ND ST UNIT A, WAVERLY, OH 45690(740) 352-7733 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2026, Nov 3, 2022, Mar 4, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Sean D Stiltner Do NPPES

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

DR. SEAN D STILTNER DO (NPI 1821156472) is an individual family medicine provider in Waverly, Ohio, licensed in Ohio (34008708) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains a secondary practice location in Piketon.

NPPES Registry Identity

NPI1821156472
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEAN D STILTNERCredential: DO
Location Address810 W 2ND ST UNIT AWaverly, OH 45690-9433
Mailing AddressPo Box 429Piketon, OH 45661-0429 · (740) 352-7733 · Fax (740) 619-7016
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2004
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 25, 20264 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
✔ NPI 1821156472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34008708
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 34.008708 (OH)
810 W 2ND ST UNIT A, Waverly, OH 45690

Secondary Practice Location 1

Location 17777 US Highway 23Piketon, OH 45661-9102 · Phone (740) 289-3508

Other Identifiers 2

Medicaid0058546OH
Medicaid2715860OH

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

Dr. Sean D Stiltner Do 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 ID143220889
PECOS Enrollment IDI20070103000428
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

10

Medicare enrollment records show Sean Stiltner reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
810 W 2ND ST UNIT A
Waverly, OH 45690
  • Reassigned Medicare billing, Ohio enrollment
  • 9 clinicians in this Medicare group
Primary Care
227 VALLEYVIEW DR, FAMILY HEALTH CENTER - WAVERLY
Waverly, OH 45690
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
Emergency Medicine
1408 CAMPBELL DR
Ironton, OH 45638
  • Reassigned Medicare billing, Ohio enrollment
  • 57 clinicians in this Medicare group
Multi-Specialty
100 JACKSON PIKE
Gallipolis, OH 45631
  • Reassigned Medicare billing, Ohio enrollment
  • 321 clinicians in this Medicare group
Emergency Medicine
50 W BROAD ST
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 474 clinicians in this Medicare group
Nurse Practitioner
3958 BROWN PARK DR STE D
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 82 clinicians in this Medicare group
Internal Medicine
2420 LAKE AVE
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 272 clinicians in this Medicare group
Geriatric Medicine
5 RESEARCH DR
Shelton, CT 06484
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
Venvisor Health Ohio LLC
  • Reassigned Medicare billing, Ohio enrollment
  • 34 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 18

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
299 services151 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.
232 services232 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
231 services82 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
219 services93 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
212 services206 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
162 services92 patients

Hospital Affiliations CMS Care Compare 3

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361320
Location500 Burlington RoadJackson, OH 45640 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45690 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

Family Medicine
810 W 2ND ST UNIT A
WAVERLY, OH 45690
Family Medicine
810 W 2ND ST UNIT A
WAVERLY, OH 45690

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 Stiltner's NPI number?

The NPI number for Sean Stiltner is 1821156472. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Sean Stiltner located?

Sean Stiltner practices at 810 W 2nd St Unit A, Waverly, OH 45690. The listed phone number is (740) 352-7733.

What is Sean Stiltner's specialty?

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

Is Sean Stiltner enrolled in Medicare?

Yes. Sean Stiltner 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 organizations bill Medicare for Sean Stiltner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Stiltner reassigns Medicare benefits to 10 organizations: Cardinal Virtues Long Term Care (Waverly, OH), Community Action Committee Of Pike County (Waverly, OH), Emergency Professional Services, Inc. (Seaman, OH), Valley Emergency Physicians Ohio LLC (Ironton, OH), Holzer Clinic, LLC (Gallipolis, OH) and 5 more organizations, listed in the Medicare section above. 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 Stiltner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Stiltner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Sean Stiltner 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 Stiltner affiliated with any hospitals?

According to CMS data, Sean Stiltner is affiliated with Southern Ohio Medical Center, Marietta Memorial Hospital and Holzer Medical Center Jackson.

When was this NPI record last updated?

The NPPES record for Sean Stiltner was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.