DR. SEAN SWANEY (DO) – General Practice Physician, NPI 1538620307
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
130 GENERAL PRACTICE in VA
Provider Addresses for DR. SEAN SWANEY (DO)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 237082111
Phone: (757) 953-2339
Type: Mailing
1805 JAMES L REDMAN PKWY STE 201
PLANT CITY, FL 335637012
Phone: (813) 807-3338
Fax: (813) 441-7864
Type: Mailing
103 MIDDLE RD
YORKTOWN, VA 236924506
Phone: (210) 269-5706
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-10-27
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 |
|---|---|---|---|---|
| I20211027001713 | I | General Practice | VA | 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 |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 996 | 996 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 441 | 425 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 381 | 381 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 233 | 233 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 228 | 228 | $0 |
Insurance plans in this area (ZIP 23708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Internal Medicine, Addiction Medicine | CA | |
| Family Practice | GA | |
| General Practice | NY | |
| Internal Medicine | MI | |
| Diagnostic Radiology, Family Practice | CA | |
| Internal Medicine | MD | |
| Family Practice | FL |
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