SEAN FAHERTY (MD) – Family Medicine Physician, NPI 1174501191
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
999 FAMILY PRACTICE in NM
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Provider Addresses for SEAN FAHERTY (MD)
2300, East 30th Street, Farmington, San Juan County, New Mexico, 87401, United States
BLDG B, STE 102
FARMINGTON, NM 874018990
Phone: (505) 324-1000
Fax: (505) 324-1199
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 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: 2023-09-29 • Largest payer in this snapshot: Novo Nordisk Inc ($50).
Total Amount
$50
General + Research + Ownership
Payments
1
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
2023-09-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $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: 2010-08-02
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 |
|---|---|---|---|---|
| I20100802000274 | I | Family Practice | NM | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 799 | 437 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 754 | 420 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 593 | 365 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 516 | 329 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 492 | 339 | $0 |
Insurance plans in this area (ZIP 87401)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NM | |
| - | NM | |
| - | NM | |
| Nurse Practitioner | NM | |
| Family Practice | NM | |
| - | NM | |
| Physician Assistant | NM | |
| Family Practice | NM | |
| Family Practice | NM |
Reviews
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