SEAN SMITH MD
NPI 1952863797
Internal Medicine - Cardiovascular Disease in Provo, UT
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
Specialties & Licenses
Secondary Practice Location 1
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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sean Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Scottsdale, AZ 85259
- Reassigned Medicare billing, Arizona enrollment
- 1,792 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Utah Valley Hospital
Acute Care Hospitals · Provo, UTAmerican Fork Hospital
Acute Care Hospitals · American Fork, UTSevier Valley Hospital
Acute Care Hospitals · Richfield, UTSpanish Fork Hospital
Acute Care Hospitals · Spanish Fork, UTSanpete Valley Hospital - Cah
Critical Access Hospitals · Mount Pleasant, UTPhysician 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.
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.
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.
PROVO, UT 84604
PROVO, UT 84604
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.
Which organizations bill Medicare for Sean Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Smith reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Provo, UT) and Mayo Clinic Arizona (Scottsdale, AZ). 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 Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Smith accept?
Health plans from Select Health and University of Utah Health Plans 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, Spanish Fork Hospital and Sanpete Valley Hospital - Cah.
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 11 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.
# Sean Smith, MD · NPI 1952863797
Cardiovascular Disease physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since April 2, 2019.
## Identity
- **NPI:** 1952863797 (Entity type: Individual)
- **Enumerated:** April 2, 2019
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 14198755-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 395 W BULLDOG BLVD, Provo, UT 84604-3311
- **Phone:** (801) 357-7081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1265630693, Provo, UT); Mayo Clinic Arizona (NPI 1558332494, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** November 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952863797) · Data from the CMS NPPES public registry.