SEAN PATRICK CUSHMAN (OD) – Optometrist, NPI 1023686474

SEAN PATRICK CUSHMAN (OD) is a healthcare provider. based in Salt lake city, Utah. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 126805119934 (UT). The NPI Number for SEAN PATRICK CUSHMAN (OD) is 1023686474

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
SEAN PATRICK CUSHMAN (OD)
NPI
1023686474
Phone
(801) 266-2283
Address
755 E 3900 S
Enumeration Date
14 June 2021
Last Update Date
21 September 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8012662283
Graduation Year
2020 (6 years ago)
PAC ID
0648673699
Group Practice PAC ID
3678556438
Professional Enrollment ID
I20220705002591
Address ID
UT841072105SA755XX3900300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for SEAN PATRICK CUSHMAN (OD)

  • 755 E 3900 S

    SALT LAKE CITY, UT 841072105

    Phone: (801) 266-2283

    Fax: (801) 268-6151

    Type: Mailing

  • 900 NW 17TH ST

    MIAMI, FL 331361119

    Phone: (305) 243-2020

    Fax: (305) 326-6306

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,881.

Total Amount is formed as General ($1,881) + Research ($0) + Ownership ($0) = $1,881.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($659).

Total Amount

$1,881

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,881

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2022-07-05

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
I20220705002591IOptometryUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes369231$0
99214Established patient office or other outpatient visit, 30-39 minutes11999$0
92134Imaging of retina113104$0
92014Established patient complete exam of visual system8282$0
92004New patient complete exam of visual system5050$0
View full utilization report →

Insurance plans in this area (ZIP 84107)

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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: 3678556438View full group profile
NameSpecialtyState
-UT
O P T O M E T R YUT
-UT
O P H T H A L M O L O G YUT
-UT
O P H T H A L M O L O G YUT
O P T O M E T R YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
-UT

Reviews

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Frequently asked questions

How is SEAN PATRICK CUSHMAN (OD) identified in CMS data?
CMS-hosted NPPES data lists SEAN PATRICK CUSHMAN (OD) with NPI 1023686474.
Is SEAN PATRICK CUSHMAN (OD) still practicing?
SEAN PATRICK CUSHMAN (OD) is currently listed as active in the public NPI registry.
What is SEAN PATRICK CUSHMAN (OD) best known for clinically?
Directory data describes SEAN PATRICK CUSHMAN (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does SEAN PATRICK CUSHMAN (OD) serve?
SEAN PATRICK CUSHMAN (OD)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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