SEAN K SACKETT (DO) – Family Medicine Physician, NPI 1972595940

SEAN K SACKETT (DO) is a healthcare provider. based in Queen creek, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 3872 (AZ). The NPI Number for SEAN K SACKETT (DO) is 1972595940

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
SEAN K SACKETT (DO)
NPI
1972595940
Phone
(888) 663-6331
Address
20734 E MAYA RD STE 101
Enumeration Date
16 August 2005
Last Update Date
14 March 2025

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
4802371395
Graduation Year
2001 (25 years ago)
PAC ID
6800869678
Group Practice PAC ID
0143520189
Professional Enrollment ID
I20040818001411
Address ID
AZ852950755GI2196XRDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,260 FAMILY PRACTICE in AZ

Provider Addresses for SEAN K SACKETT (DO)

  • 20734 E MAYA RD STE 101

    QUEEN CREEK, AZ 851422651

    Phone: (888) 663-6331

    Fax: (415) 252-7176

    Type: Location

  • 633, East Ray Road, Plaza del Sol, Gilbert, Maricopa County, Arizona, 85296, United States

    SUITE 133

    GILBERT, AZ 852964200

    Phone: (480) 782-0609

    Fax: (480) 782-0610

    Type: Mailing

  • 1 EMBARCADERO CTR STE 1900

    SAN FRANCISCO, CA 941113723

    Phone: (415) 658-6791

    Type: Mailing

  • 3003 N CENTRAL AVE STE 1175

    PHOENIX, AZ 850120002

    Phone: (888) 698-6727

    Fax: (602) 564-6246

    Type: Mailing

  • 21321 E OCOTILLO RD STE 133

    QUEEN CREEK, AZ 851425995

    Phone: (480) 987-5525

    Fax: (480) 987-5115

    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: 2004-08-18

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
I20040818001411IFamily PracticeAZTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6441$0
36415Insertion of needle into vein for collection of blood sample3826$0
99213Established patient office or other outpatient visit, 20-29 minutes3024$0
80053Blood test, comprehensive group of blood chemicals2117$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
View full utilization report →

Insurance plans in this area (ZIP 85142)

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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: 0143520189View full group profile
NameSpecialtyState
Nurse PractitionerNE
Nurse PractitionerAZ
Physician AssistantAZ
Physician AssistantAZ
Family PracticeMO
-AZ
Family PracticeCA
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Can I use this page to confirm SEAN K SACKETT (DO)'s NPI?
Yes. SEAN K SACKETT (DO) is listed with NPI 1972595940 in the public NPI dataset.
Does CMS list SEAN K SACKETT (DO) as active?
Yes — SEAN K SACKETT (DO) is active in the NPI listing used on this page.
What healthcare role does SEAN K SACKETT (DO) hold?
Scheduling teams often label SEAN K SACKETT (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does SEAN K SACKETT (DO) serve?
SEAN K SACKETT (DO)'s listing highlights Queen Creek, Arizona; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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