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SEAN SMITH MD
NPI 1952863797
Internal Medicine - Cardiovascular Disease in Provo, UT

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
395 W BULLDOG BLVD, PROVO, UT 84604(801) 357-7081 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2025, Sep 10, 2020, Jul 6, 2020 and 1 more (4 updates tracked since 2019).

About Sean Smith Md NPPES

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

SEAN SMITH MD (NPI 1952863797) is an individual cardiovascular disease provider in Provo, Utah, licensed in Utah (14198755-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1952863797
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSEAN SMITHCredential: MD
Location Address395 W BULLDOG BLVDProvo, UT 84604-3311
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 357-7081
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateNovember 26, 20254 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1952863797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in UT · 14198755-1205✔ Licensed in AZ · 62105
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
395 W BULLDOG BLVD, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Location 1

Location 113400 E Shea BlvdScottsdale, AZ 85259-5499 · Phone (480) 301-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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 Smith 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 ID3678800497
PECOS Enrollment IDI20250815001595
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.

Hospital Affiliations CMS Care Compare 4

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460026
Location1000 North Main StreetRichfield, UT 84701 · Sevier County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

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.

ETHAN MARK NIELSEN PA
Physician Assistant
395 W BULLDOG BLVD
PROVO, UT 84604
Utah County (801) 357-7081
KAYLAN DIANE OLSEN NP
Nurse Practitioner
395 W BULLDOG BLVD
PROVO, UT 84604
Utah County (801) 357-7081
MINDY CROCKETT RDN, CD
Dietitian, Registered
395 W BULLDOG BLVD
PROVO, UT 84604
Utah County (801) 357-8143
RAMIE BEST FNP
Nurse Practitioner
395 W BULLDOG BLVD
PROVO, UT 84604
Utah County (801) 357-7081
KRYSTAL JENNIFER BISCHOFF FNP
Nurse Practitioner
395 W BULLDOG BLVD
PROVO, UT 84604
Utah County (801) 357-7081
JAMES MICHAEL FEENEY MD FACC
Internal Medicine (Interventional Cardiology)
395 W BULLDOG BLVD
PROVO, UT 84604
Utah County (801) 357-7081
IHC HEALTH SERVICES INC
Internal Medicine (Sports Medicine)
395 W BULLDOG BLVD
PROVO, UT 84604
Utah County (801) 357-4141
DR. VLAD ANDREI RADULESCU MD
Internal Medicine (Cardiovascular Disease)
395 W BULLDOG BLVD
PROVO, UT 84604
Utah County (801) 357-7081

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 Smith's NPI number?

The NPI number for Sean Smith is 1952863797. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Sean Smith located?

Sean Smith practices at 395 W Bulldog Blvd, Provo, UT 84604. The listed phone number is (801) 357-7081.

What is Sean Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sean Smith enrolled in Medicare?

Yes. Sean Smith 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 Smith accept?

Health plans from Select Health list Sean Smith 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 Smith affiliated with any hospitals?

According to CMS data, Sean Smith is affiliated with Utah Valley Hospital, American Fork Hospital, Sevier Valley Hospital and Spanish Fork Hospital.

When was this NPI record last updated?

The NPPES record for Sean Smith was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.