SEAN GREGORY WESTENDORF – Family Medicine Physician, NPI 1114663150

SEAN GREGORY WESTENDORF is a healthcare provider. based in Waverly, Iowa. specializing in FAMILY PRACTICE. They hold a License No. R-12444 (IA). The NPI Number for SEAN GREGORY WESTENDORF is 1114663150

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
SEAN GREGORY WESTENDORF
NPI
1114663150
Phone
Not provided
Address
1306 ROUND HORN ST
Enumeration Date
11 May 2022
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3193524120
Graduation Year
2022 (4 years ago)
PAC ID
9234511817
Group Practice PAC ID
8820996762
Professional Enrollment ID
I20240628003783
Address ID
IA506772929WA312XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:4State licenses:2Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for SEAN GREGORY WESTENDORF

  • 1306 ROUND HORN ST

    WAVERLY, IA 506771332

    Phone:

    Type: Mailing

  • 1801 HICKMAN RD

    DES MOINES, IA 503141548

    Phone: (515) 282-2200

    Type: Location

  • 312 9TH ST SW

    WAVERLY, IA 506772999

    Phone: (319) 483-1390

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($20).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-28

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
I20240628003783IFamily PracticeIATBD

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 50677)

Loading plans...

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: 8820996762View full group profile
NameSpecialtyState
-IA
Certified Registered Nurse Anesthetist (Crna)WA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
General Surgery, General PracticeIA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)HI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for SEAN GREGORY WESTENDORF?
Save NPI 1114663150 if you need a stable reference for SEAN GREGORY WESTENDORF.
Is SEAN GREGORY WESTENDORF's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SEAN GREGORY WESTENDORF?
The page reflects Family Medicine Physician for SEAN GREGORY WESTENDORF. Clinical services aligned with this taxonomy classification.
Where does public data place SEAN GREGORY WESTENDORF?
The snapshot lists Waverly, Iowa for SEAN GREGORY WESTENDORF; download NPPES for the complete set.
How can I contact SEAN GREGORY WESTENDORF?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

TODD LARRY SHOVER (D.O.)

Emergency Medicine Physician
Waverly Health Center, 312, 9th Street Southwest, Waverly, Bremer County, Iowa, 50677, United States
NPI: 1558364240

DR. MONICA L PETERSON (DO)

Family Medicine Physician
Waverly Health Center, 312, 9th Street Southwest, Waverly, Bremer County, Iowa, 50677, United States
NPI: 1609860253

DANIEL BRIAN EGGERS (MD)

Family Medicine Physician
Hillcrest Drive, Waverly, Bremer County, Iowa, 50677, United States
NPI: 1134101868

MICHAEL T BERSTLER (MD)

Family Medicine Physician
Waverly Health Center, 312, 9th Street Southwest, Waverly, Bremer County, Iowa, 50677, United States
NPI: 1992781793

DANIEL J DARNOLD (MD)

Family Medicine Physician
Waverly Health Center, 312, 9th Street Southwest, Waverly, Bremer County, Iowa, 50677, United States
NPI: 1851378970

CLAY R DAHLQUIST (DO)

Family Medicine Physician
Waverly Health Center, 312, 9th Street Southwest, Waverly, Bremer County, Iowa, 50677, United States
NPI: 1083691190

TIMOTHY C HORRIGAN (MD)

Family Medicine Physician
3701 Lafayette Rd
NPI: 1467430181

LEE O FAGRE (MD)

Family Medicine Physician
2101, Kimball Avenue, Waterloo, Black Hawk County, Iowa, 50702, United States
NPI: 1982649018

DR. KATHLEEN A MEGIVERN (DO)

Family Medicine Physician
217 20th St NW
NPI: 1245269489