DR. SEAN THOMAS WILLEY (DO) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1346335684
Sports Medicine (Physical Medicine & Rehabilitation) Physician
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Profile Insights
NPPES metrics only — not quality of care.
243 SPORTS MEDICINE in MN
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Provider Addresses for DR. SEAN THOMAS WILLEY (DO)
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
MINNEAPOLIS, MN 554071321
Phone: (612) 262-5000
Type: Mailing
8100, West 78th Street, Braemar Hills, Edina, Hennepin County, Minnesota, 55439, United States
SUITE 230
EDINA, MN 554392516
Phone: (952) 946-9777
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: 2013-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20130724000385 | I | Sports Medicine | MN | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 655 | 78 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 137 | 137 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 107 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 41 | $0 |
Insurance plans in this area (ZIP 55407)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | MN | 20610 | Aspiration and/or injection of large joint or joint capsule | 38 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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