MR. SEAN J STUCKI (PA-C) – Physician Assistant, NPI 1245296383

MR. SEAN J STUCKI (PA-C) is a healthcare provider. based in St george, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5178738-1206 (UT). The NPI Number for MR. SEAN J STUCKI (PA-C) is 1245296383

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEAN J STUCKI (PA-C)
NPI
1245296383
Phone
(435) 656-8800
Address
1424 E FOREMASTER DR # 120
Enumeration Date
26 April 2006
Last Update Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
0941447767
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20130514000551
Address ID
UT846043305Pr1055X500X301
Telehealth
Yes

Contacts

Secure Messaging
medreview@reverehealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for MR. SEAN J STUCKI (PA-C)

  • 1424 E FOREMASTER DR # 120

    ST GEORGE, UT 847905832

    Phone: (435) 656-8800

    Fax: (435) 627-1809

    Type: Location

  • Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States

    ATTN: CREDENTIALING

    PROVO, UT 846043305

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

  • 2825 E MALL DR

    ST GEORGE, UT 847901954

    Phone: (435) 656-8800

    Fax: (435) 627-1809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,006.

Total Amount is formed as General ($1,006) + Research ($0) + Ownership ($0) = $1,006.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lundbeck LLC ($259).

Total Amount

$1,006

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,006

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2013-05-14

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
I20130514000551IPhysician 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 minutes558112$0
62370Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician15533$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg10425$0
95911Nerve conduction, 9-10 studies7171$0
95885Needle measurement of electrical activity in arm or leg muscles, limited study6456$0
View full utilization report →

Insurance plans in this area (ZIP 84790)

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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: 7517868508View full group profile

Reviews

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Frequently asked questions

Does MR. SEAN J STUCKI (PA-C) have a public NPI I can cite?
Public records show MR. SEAN J STUCKI (PA-C) under NPI 1245296383.
Is MR. SEAN J STUCKI (PA-C)'s NPI status active today?
Active status means MR. SEAN J STUCKI (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. SEAN J STUCKI (PA-C)?
NPPES ties MR. SEAN J STUCKI (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. SEAN J STUCKI (PA-C)?
MR. SEAN J STUCKI (PA-C) shows a connection to St George, Utah in registry-derived data.
Can I export MR. SEAN J STUCKI (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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