SEAN MATTHEW GRATTON MD
NPI 1952535353
Ophthalmology - Neuro-ophthalmology in Leawood, KS

Active since May 13, 2009PECOS EnrolledAccepts Medicare Assignment
90.61/100
CMS Quality Rating
11261 NALL AVE, LEAWOOD, KS 66211(913) 261-2020 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2018, Mar 21, 2016 (2 updates tracked since 2016).

About Sean Matthew Gratton Md NPPES

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

SEAN MATTHEW GRATTON MD (NPI 1952535353) is an individual neuro-ophthalmology provider in Leawood, Kansas, licensed in Missouri (2014018808) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1952535353
Entity TypeIndividualMale
Primary Taxonomy207WX0109X
Provider Legal NameSEAN MATTHEW GRATTONCredential: MD
Location Address11261 NALL AVELeawood, KS 66211-1669
Mailing Address2310 Holmes St, Ste 800Kansas City, MO 64108-2602 · (816) 218-2500
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2009
Enumeration DateMay 13, 2009
Last NPPES UpdateApril 18, 20182 updates tracked since enumeration
NPI 1952535353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License Licensed in MO · 2014018808
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
Also ListedOphthalmologyTaxonomy 207W00000X · License 2014018808 (MO)
11261 NALL AVE, Leawood, KS 66211

Secondary Practice Location 1

Location 14320 Wornall Rd Ste 220Kansas City, MO 64111-5954 · Phone (913) 261-2020 · Fax (913) 261-2090

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

Sean Matthew Gratton 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 ID4082857495
PECOS Enrollment IDI20140807001332, I20140912001546
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.

Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
158 services134 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
132 services113 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
118 services116 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
112 services112 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
58 services47 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.
56 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260048
Location2301 Holmes StreetKansas City, MO 64108 · Jackson County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66211 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

90.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.3
Promoting Interoperability85
Improvement Activities40
Cost86.91

Other Providers at the Same Location NPPES 10

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

Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Optometrist
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology (Retina Specialist)
11261 NALL AVE
LEAWOOD, KS 66211
Ophthalmology
11261 NALL AVE
LEAWOOD, KS 66211

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 Gratton's NPI number?

The NPI number for Sean Gratton is 1952535353. It was assigned to this individual provider in the NPPES registry on May 13, 2009.

Where is Sean Gratton located?

Sean Gratton practices at 11261 Nall Ave, Leawood, KS 66211. The listed phone number is (913) 261-2020.

What is Sean Gratton's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Sean Gratton enrolled in Medicare?

Yes. Sean Gratton 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 Gratton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 12 other insurers list Sean Gratton 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 Gratton affiliated with any hospitals?

According to CMS data, Sean Gratton is affiliated with Adventhealth Shawnee Mission, Truman Medical Center Hospital Hill and St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Sean Gratton was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.