MR. SEAN JR. CORBETT (PA-C) – Medical Physician Assistant, NPI 1396139614

MR. SEAN JR. CORBETT (PA-C) is a healthcare provider. based in Dorchester, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA5288 (MA). The NPI Number for MR. SEAN JR. CORBETT (PA-C) is 1396139614

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEAN JR. CORBETT (PA-C)
NPI
1396139614
Phone
(617) 506-4444
Address
2100 DORCHESTER AVE
Enumeration Date
25 March 2015
Last Update Date
28 January 2019

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9786881212
Graduation Year
2015 (11 years ago)
PAC ID
6305165259
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20150428000655
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MR. SEAN JR. CORBETT (PA-C)

  • 2100 DORCHESTER AVE

    DORCHESTER, MA 021245615

    Phone: (617) 506-4444

    Type: Location

  • Lahey Clinic Inc

    41 Mall Road

    Burlington, MA 01805

    Phone: (781) 744-8000

    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: 2015-04-28

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
I20150428000655IPhysician AssistantMATBD

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
99285Emergency department visit with high level of medical decision making6463$0
99284Emergency department visit with moderate level of medical decision making2525$0
View full utilization report →

Insurance plans in this area (ZIP 02124)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What federal number belongs to MR. SEAN JR. CORBETT (PA-C)?
The federal identifier for MR. SEAN JR. CORBETT (PA-C) is NPI 1396139614.
Is MR. SEAN JR. CORBETT (PA-C)'s NPI currently valid?
The extract we use shows MR. SEAN JR. CORBETT (PA-C) as active.
Can you summarize MR. SEAN JR. CORBETT (PA-C)'s specialty in plain language?
Clinically, the directory lists MR. SEAN JR. CORBETT (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. SEAN JR. CORBETT (PA-C)'s primary listing?
We display Dorchester, Massachusetts because that is what the record indicates for MR. SEAN JR. CORBETT (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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