SEAN E MAYNARD (PA-C) – Medical Physician Assistant, NPI 1962494716
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for SEAN E MAYNARD (PA-C)
67, Kingswood Drive, Campbellsville, Taylor County, Kentucky, 42718, United States
CAMPBELLSVILLE, KY 427189647
Phone: (270) 465-3812
Fax: (270) 465-8352
Type: Mailing
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 427189604
Phone: (270) 849-2379
Fax: (270) 465-2126
Type: Location
95 Kingswood Dr
Campbellsville, KY 427189604
Phone: (270) 465-3812
Type: Location
67 Kingswood Dr
Campbellsville, KY 427189647
Phone: (270) 465-3812
Fax: (270) 465-8352
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2023-10-30 • Largest payer in this snapshot: Lilly USA, LLC ($15).
Total Amount
$41
General + Research + Ownership
Payments
3
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $15 |
| ABBVIE INC. | $13 |
| Novo Nordisk Inc | $13 |
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: 2010-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100716000526 | I | Physician Assistant | KY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 486 | 268 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 446 | 243 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 95 | 95 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 95 | 95 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 42718)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Internal Medicine | KY | |
| - | KY | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| U R O L O G Y | KY | |
| Nurse Practitioner | KY |
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