MR. SEAN L. WEBSTER PA-C (PA-C) – Medical Physician Assistant, NPI 1063759215

MR. SEAN L. WEBSTER PA-C (PA-C) is a healthcare provider. based in Bountiful, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 8482017-1206 (UT). The NPI Number for MR. SEAN L. WEBSTER PA-C (PA-C) is 1063759215

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEAN L. WEBSTER PA-C (PA-C)
NPI
1063759215
Phone
(801) 298-9155
Address
557 W 2600 S
Enumeration Date
8 January 2013
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012921422
Graduation Year
2012 (14 years ago)
PAC ID
9739403072
Group Practice PAC ID
0840776688
Professional Enrollment ID
I20150115001220
Address ID
UT840108925BO520XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for MR. SEAN L. WEBSTER PA-C (PA-C)

  • 557 W 2600 S

    BOUNTIFUL, UT 840107717

    Phone: (801) 298-9155

    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 211 Open Payments records for all available years, with a total value of $3,481.

Total Amount is formed as General ($3,481) + Research ($0) + Ownership ($0) = $3,481.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($522).

Total Amount

$3,481

General + Research + Ownership

Payments

211

Total payment records

General Amount

$3,481

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-01-15

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
I20150115001220IPhysician AssistantUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14084$0
G0442Annual alcohol misuse screening, 5 to 15 minutes7474$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6060$0
99213Established patient office or other outpatient visit, 20-29 minutes4432$0
G0008Administration of influenza virus vaccine3029$0
View full utilization report →

Insurance plans in this area (ZIP 84010)

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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: 0840776688View full group profile
NameSpecialtyState
Family PracticeUT
Physician AssistantUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Internal MedicineUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Family PracticeCO
Family PracticeUT
Family PracticeUT
Internal MedicineUT
Family PracticeUT

Reviews

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Frequently asked questions

Is MR. SEAN L. WEBSTER PA-C (PA-C) listed with a National Provider Identifier?
Yes — MR. SEAN L. WEBSTER PA-C (PA-C) has NPI 1063759215 on file in the registry.
Is there an active status for MR. SEAN L. WEBSTER PA-C (PA-C)?
For scheduling context, MR. SEAN L. WEBSTER PA-C (PA-C) is shown as active in the registry.
How would a patient describe MR. SEAN L. WEBSTER PA-C (PA-C)'s focus?
For MR. SEAN L. WEBSTER PA-C (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. SEAN L. WEBSTER PA-C (PA-C) located near Bountiful?
MR. SEAN L. WEBSTER PA-C (PA-C) currently maps to Bountiful, Utah in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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