SEAN RICHARDSON (D.O.) – Family Medicine Physician, NPI 1508144304

SEAN RICHARDSON (D.O.) is a healthcare provider. based in Fort greely, Alaska. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 1318 (NE). The NPI Number for SEAN RICHARDSON (D.O.) is 1508144304

Main info

Male
13 Years Of Experience
Name
SEAN RICHARDSON (D.O.)
NPI
1508144304
Phone
(907) 873-4865
Address
PO BOX 31326
Enumeration Date
27 July 2011
Last Update Date
22 November 2016

Doctor Profile

Medical School Name
PACIFIC MEDICAL COLLEGE
Secondary Phone
9078223203
Graduation Year
2013 (13 years ago)
PAC ID
7315291952
Group Practice PAC ID
4688587348
Professional Enrollment ID
I20181116001345
Address ID
AK995880000GL187XXMILE200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

495 FAMILY PRACTICE in AK

Provider Addresses for SEAN RICHARDSON (D.O.)

  • PO BOX 31326

    FORT GREELY, AK 997311326

    Phone: (907) 873-4865

    Type: Mailing

  • 655 5TH ST

    FORT GREELY, AK 99731

    Phone: (907) 873-4975

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181116001345IFamily PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count254182$0
80053Blood test, comprehensive group of blood chemicals249178$0
81003Automated urinalysis test10889$0
80061Blood test, lipids (cholesterol and triglycerides)8476$0
83036Hemoglobin a1c level7058$0
View full utilization report →

Insurance plans in this area (ZIP 99731)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688587348View full group profile
NameSpecialtyState
Mental Health CounselorAK
Physician AssistantAK
Nurse PractitionerAK
Physician AssistantAK
-AK
Nurse PractitionerSD
Internal MedicineAK
Mental Health CounselorAK
Nurse PractitionerSD
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does SEAN RICHARDSON (D.O.) have a public NPI I can cite?
Public records show SEAN RICHARDSON (D.O.) under NPI 1508144304.
Should I treat SEAN RICHARDSON (D.O.) as an active provider?
Patients and plans typically see SEAN RICHARDSON (D.O.) as active in the national extract.
Which specialty label fits SEAN RICHARDSON (D.O.)?
NPPES ties SEAN RICHARDSON (D.O.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SEAN RICHARDSON (D.O.)?
SEAN RICHARDSON (D.O.) is associated with Fort Greely, Alaska in the same public data insurers reference.
Why is information missing for SEAN RICHARDSON (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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