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SEAN D FLEMING MD
NPI 1992745517
Emergency Medicine in Allen, TX

Active since June 08, 2006PECOS Enrolled
75/100
CMS Quality Rating
1105 CENTRAL EXPY N, ALLEN, TX 75013(972) 747-6552 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sean D Fleming Md NPPES

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

SEAN D FLEMING MD (NPI 1992745517) is an individual emergency medicine provider in Allen, Texas, licensed in Texas (L6043) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Flower Mound, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2001).

NPPES Registry Identity

NPI1992745517
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSEAN D FLEMINGCredential: MD
Location Address1105 CENTRAL EXPY NAllen, TX 75013-6103
Mailing AddressPo Box 8549Fort Worth, TX 76124-0549 · (817) 451-4208 · Fax (817) 563-3699
Phone(972) 747-6552
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2001
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 26, 2012
✔ NPI 1992745517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · L6043
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1105 CENTRAL EXPY N, Allen, TX 75013
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Other Identifiers 12

Medicare PIN610330TX
Medicare PINTXB151503TX
Medicare UPINI03715TX
Medicare PINP00150385TX
Medicare PINTXB151512TX
Medicaid165357801TX
Other0088KWTX · Bcbs
Medicaid165357805TX
Medicaid165357806TX
Medicare PINTXB156608TX
Medicare PINTXB156607TX
OtherP01082392NH · Rrmcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean D Fleming Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537150131
PECOS Enrollment IDI20040605000230
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
310 services293 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
228 services217 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
186 services171 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
105 services101 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

HEART MD PLLC
Specialist
1105 CENTRAL EXPY N, SUITE 2230
ALLEN, TX 75013
Collin County (214) 547-0650
YURI CHUKA, M.D.
Anesthesiology
1105 CENTRAL EXPY N
ALLEN, TX 75013
Collin County (972) 747-1000
DR. JEFFREY L BURCHARD M.D.
Family Medicine
1105 CENTRAL EXPY N, STE 110
ALLEN, TX 75013
Collin County (972) 727-9877
ORTHOPAEDIC ASSOCIATES OF NORTH TEXAS PA
Orthopaedic Surgery
1105 CENTRAL EXPY N, STE 120
ALLEN, TX 75013
Collin County (972) 727-9995
NICOLE GEE MSN, APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1105 CENTRAL EXPY N
ALLEN, TX 75013
Collin County (214) 343-6663
MRS. SHANA PUGH PHYSICAL THERAPIST
Physical Therapist
1105 CENTRAL EXPY N
ALLEN, TX 75013
Collin County (972) 747-6900
TLC PEDIATRICS, P.A.
Pediatrics
1105 CENTRAL EXPY N, SUITE 320
ALLEN, TX 75013
Collin County (972) 747-5437
MR. ROBERT DWAYNE STEELE CRNA
Nurse Anesthetist, Certified Registered
1105 CENTRAL EXPY N, 100
ALLEN, TX 75013
Collin County (972) 747-6118

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 Fleming's NPI number?

The NPI number for Sean Fleming is 1992745517. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Sean Fleming located?

Sean Fleming practices at 1105 Central Expy N, Allen, TX 75013. The listed phone number is (972) 747-6552.

What is Sean Fleming's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sean Fleming enrolled in Medicare?

Yes. Sean Fleming is registered in the Medicare PECOS enrollment system.

What insurance does Sean Fleming accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Sean Fleming 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 Fleming affiliated with any hospitals?

According to CMS data, Sean Fleming is affiliated with Texas Health Presbyterian Hospital Flower Mound.

When was this NPI record last updated?

The NPPES record for Sean Fleming was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.