Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215547716 Individual Practitioner Male Practitioner

Sean Michael Etheridge , PA-C

Physician Assistant • Scarborough, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sean Etheridge, PA-C is a certified Physician Assistant practicing in Scarborough, ME. With approximately 6 years of clinical experience since completing medical education in 2020, Sean Etheridge delivers high-quality medical care to the local community at 92 CAMPUS DR STE C.

Sean Etheridge is affiliated with Mainehealth and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

92 Campus Dr Ste C

Scarborough, ME 040747229

Telephone 2077975753
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Scarborough, ME

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -6.9 yrs vs City Avg
City Avg: 12.9 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Scarborough, ME (992 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Etheridge (6 Years) 6 Yrs
Scarborough Specialty Average (12.9 Years) 12.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
48 22 $335.00 $70.74

Medical Specialties & State Licenses

CMS Verified: 2024-07-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA2612

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2078859905

Mainehealth

92 Campus Dr, Scarborough, ME 040747229

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Cassiah Sahl , CCC-SLP

Speech-Language Pathologist

NPI 1023659273

Speech-Language Pathologist (Certificate of Clinical Competence)

Nataliia Iantsevych , FNP

Nurse Practitioner - Family

NPI 1083209266

Family Nurse Practitioner

NPI 1083603237
Dr. Christina Mimikos , DO

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1093944258

Doctor of Osteopathic Medicine (D.O.)

Emma Volmert , MS, CCC-SLP

Speech-Language Pathologist

NPI 1104398684

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1114152600

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 09, 2024

Registered at 92 CAMPUS DR STE C, SCARBOROUGH, ME 040747229 (Tel: 2077975753)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2024

Physician Assistant (License #PA2612 in ME)

NPI Profile Active August 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2020

Registered at 1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 089011928 (Tel: 7328283000)

📍
Updated Business Mailing Address August 09, 2020

Registered at 38 ACADEMY CIR, OAKLAND, NJ 074362625 (Tel: 2017835471)

👤
Provider Name / Credentials Updated August 09, 2020

Recorded as SEAN ETHERIDGE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2020

Physician Assistant (License #PA-GTL-20-01325 in NJ)

🟢
Initial NPI Registration & Enumeration August 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sean Etheridge. Be the first to share your experience!

Sign in to leave a review for Sean Etheridge

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215547716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2020
Last Update: July 09, 2024
Sole Proprietor: No

Mailing Address

38 Academy Cir

Oakland, NJ 074362625

Phone: 2017835471

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.