DR. SEAN MICHAEL KUCZMA (D.O.) – Internal Medicine Physician, NPI 1538457221

DR. SEAN MICHAEL KUCZMA (D.O.) is a healthcare provider. based in Portsmouth, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. OT014360 (PA). The NPI Number for DR. SEAN MICHAEL KUCZMA (D.O.) is 1538457221

Main info

Male
15 Years Of Experience
Name
DR. SEAN MICHAEL KUCZMA (D.O.)
NPI
1538457221
Phone
(757) 967-8622
Address
PO BOX 7068
Enumeration Date
14 July 2011
Last Update Date
23 February 2023

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7572765020
Graduation Year
2011 (15 years ago)
PAC ID
1153643887
Group Practice PAC ID
8325475981
Professional Enrollment ID
I20141208000133
Address ID
VA236933405YO250XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

4,930 INTERNAL MEDICINE in VA

Provider Addresses for DR. SEAN MICHAEL KUCZMA (D.O.)

  • PO BOX 7068

    PORTSMOUTH, VA 237070068

    Phone: (757) 967-8622

    Fax: (757) 686-0541

    Type: Mailing

  • 1060 FIRST COLONIAL RD

    VIRGINIA BEACH, VA 234543002

    Phone: (757) 967-8622

    Fax: (757) 686-0541

    Type: Location

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-04-04 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-04

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: 2014-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20141208000133IInternal MedicineVA2023-12-31

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.

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes295140$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes238105$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18243$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16848$0
G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif10826$0
View full utilization report →

Insurance plans in this area (ZIP 23707)

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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: 8325475981View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineWV
Nurse PractitionerVA
Internal Medicine, Hospitalist, Internal MedicineVA
H O S P I T A L I S TIL
Hospitalist, Internal MedicineVA
H O S P I T A L I S TVA
Internal MedicineNC
Internal Medicine, Hospitalist, Hospitalist, Internal MedicinePA
Internal MedicineWV
Hospitalist, Internal MedicineVA

Reviews

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Frequently asked questions

Does DR. SEAN MICHAEL KUCZMA (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SEAN MICHAEL KUCZMA (D.O.) uses 1538457221.
Is DR. SEAN MICHAEL KUCZMA (D.O.) listed as active for patients and plans?
The listing shows DR. SEAN MICHAEL KUCZMA (D.O.) as active in the NPI system.
What taxonomy line describes DR. SEAN MICHAEL KUCZMA (D.O.)?
For research purposes, treat DR. SEAN MICHAEL KUCZMA (D.O.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SEAN MICHAEL KUCZMA (D.O.) on a map?
Expect Portsmouth, Virginia as a primary anchor for DR. SEAN MICHAEL KUCZMA (D.O.) unless the record lists multiple sites.
Is the information about DR. SEAN MICHAEL KUCZMA (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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