SEAN M MAHAN (MD) – Diagnostic Radiology Physician, NPI 1063445963

SEAN M MAHAN (MD) is a healthcare provider. based in Oviedo, Florida. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 0101228974 (VA). The NPI Number for SEAN M MAHAN (MD) is 1063445963

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
SEAN M MAHAN (MD)
NPI
1063445963
Phone
(407) 699-1100
Address
2572 W STATE ROAD 426
Enumeration Date
7 July 2006
Last Update Date
18 December 2009

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
4049373771
Graduation Year
1991 (35 years ago)
PAC ID
4880669316
Group Practice PAC ID
3577838689
Professional Enrollment ID
I20040830000110
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for SEAN M MAHAN (MD)

  • 2572 W STATE ROAD 426

    SUITE 2032

    OVIEDO, FL 327658389

    Phone: (407) 699-1100

    Fax: (407) 218-8833

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-06-12 • Largest payer in this snapshot: GE HealthCare ($43).

Total Amount

$43

General + Research + Ownership

Payments

1

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GE HealthCare$43
View all Open Payments →|Open Payments Risk Radar →

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: 2013-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040830000110IDiagnostic RadiologyFLTBD
I20130103000237IDiagnostic RadiologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32765)

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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: 3577838689View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyFL
-GA
Diagnostic RadiologyOH
Diagnostic RadiologyFL
Diagnostic RadiologyIL
Diagnostic RadiologyOH
Diagnostic RadiologyMI
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

Does SEAN M MAHAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SEAN M MAHAN (MD) uses 1063445963.
Is SEAN M MAHAN (MD) listed as active for patients and plans?
The listing shows SEAN M MAHAN (MD) as active in the NPI system.
What is SEAN M MAHAN (MD)'s specialty?
The listing groups SEAN M MAHAN (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SEAN M MAHAN (MD) on a map?
Expect Oviedo, Florida as a primary anchor for SEAN M MAHAN (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.