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

Q: 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.

Q: What is Sean Gratton's specialty?

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

Q: 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.

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: October 25, 2026.

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

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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 Truman Medical Center Hospital Hill, 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

Phone(913) 261-2020

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 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.

Medicare Billing Reassignments

Medicare enrollment records show Sean Gratton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Children's Mercy Hospital

12 mi

Pediatrics

2401 GILLHAM RD
Kansas City, MO 64108

Reassigned Medicare billing, Kansas and Missouri enrollments
Medicare enrollment name: The Childrens Mercy Hospital
394 clinicians in this Medicare group

NPI 1851437719 (816) 234-3000

Truman Medical Center Incorporated

12 mi

Ophthalmology

2301 HOLMES ST
Kansas City, MO 64108

Reassigned Medicare billing, Missouri enrollment
364 clinicians in this Medicare group

NPI 1548438047 (816) 404-7000

University Health Physicians

12 mi

Internal Medicine

2301 HOLMES ST
Kansas City, MO 64108

Reassigned Medicare billing, Missouri enrollment
518 clinicians in this Medicare group

NPI 1669456257 (816) 404-1000

Sabates Eye Centers LLC

17 mi

Ophthalmology

4741 S ARROWHEAD DR
Independence, MO 64055

Reassigned Medicare billing, Kansas and Missouri enrollments
29 clinicians in this Medicare group

NPI 1790749810 (913) 261-2020

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 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 2

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

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

Quality

94.3

Promoting Interoperability

Improvement Activities

Cost

86.91

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.

MATTHEW C SNIEGOWSKI MD

Ophthalmology