DR. SEAN D ANDERSON (D.O.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1063701217
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
64 PHYSICAL MEDICINE AND REHABILITATION in ID
Provider Addresses for DR. SEAN D ANDERSON (D.O.)
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
Phone: (208) 227-2100
Fax: (208) 227-2362
Type: Mailing
3200 Channing Way Ste 306
Idaho Falls, ID 834047546
Phone: (208) 535-4400
Fax: (208) 535-4404
Type: Location
PO BOX 741729
ATLANTA, GA 303741729
Phone:
Type: Mailing
5405 S 500 E STE 202
OGDEN, UT 844057419
Phone: (801) 475-1928
Fax: (801) 475-1808
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Boston Scientific Corporation ($50).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $50 |
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: 2021-04-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151002001127 | I | Physical Medicine And Rehabilitation | ID | TBD |
| I20210406001318 | I | Physical Medicine And Rehabilitation | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 582 | 95 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 89 | 88 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 63 | 39 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | 46 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 37 | 35 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Interventional Cardiology | AK | |
| Nurse Practitioner | UT | |
| Cardiovascular Disease (Cardiology), Internal Medicine | UT | |
| Cardiovascular Disease (Cardiology), Internal Medicine | UT | |
| Nurse Practitioner | GA | |
| Pulmonary Disease | NV | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | NC | |
| Physician Assistant | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | UT | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | UT |
Reviews
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