Active NPI 1598200438 Individual Practitioner Male Practitioner

Sean Michael Baxter , PA-C

Physician Assistant • Southold, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sean Baxter, PA-C is a certified Physician Assistant practicing in Southold, NY. With approximately 10 years of clinical experience since completing medical education in 2016, Sean Baxter delivers high-quality medical care to the local community at 5805 MAIN BAYVIEW RD.

Sean Baxter is affiliated with Adventist Health System Sunbelt, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5805 Main Bayview Rd

Southold, NY 119714831

Telephone 7077262768

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Southold, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Southold, NY (15701 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baxter (10 Years) 10 Yrs

Southold Specialty Average (11.5 Years) 11.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	91	$322.00	$105.68
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	91	89	$65.00	$34.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	83	83	$49.00	$16.02
99213 Established patient office or other outpatient visit, typically 15 minutes	63	59	$219.00	$74.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$498.00	$136.68
81002 Urinalysis, manual test	28	27	$11.00	$3.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	27	27	$49.00	$15.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$326.18	$92.44
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$63.92	$11.80
71046 X-ray of chest, 2 views	13	13	$90.00	$26.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	143	133	$65.00	$34.62
99213 Established patient office or other outpatient visit, typically 15 minutes	132	117	$219.08	$75.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	128	120	$49.00	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	98	$322.00	$106.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$326.00	$94.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$498.00	$136.95
81002 Urinalysis, manual test	37	35	$11.00	$3.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	29	29	$49.00	$16.20
71046 X-ray of chest, 2 views	18	17	$90.00	$26.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	129	$235.00	$66.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$324.56	$91.14
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	48	47	$65.00	$41.19
87804 Detection test by immunoassay with direct visual observation for influenza virus	40	39	$49.00	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$370.48	$92.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	126	$240.00	$74.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	62	$370.00	$105.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$319.00	$90.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	53	$353.91	$98.29
99213 Established patient office or other outpatient visit, typically 15 minutes	39	39	$257.36	$66.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$315.52	$97.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	103	$353.00	$96.01
99213 Established patient office or other outpatient visit, typically 15 minutes	82	81	$271.00	$63.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$315.00	$95.94
81003 Automated urinalysis test	28	25	$16.00	$2.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	17	$43.00	$16.20
71046 X-ray of chest, 2 views	12	12	$70.00	$9.71
94640 Inhalation treatment for airway obstruction or sputum production	11	11	$53.00	$16.52
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	11	11	$0.78	$0.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	115	$348.64	$95.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$315.00	$95.95
99213 Established patient office or other outpatient visit, typically 15 minutes	57	55	$263.00	$65.15
81003 Automated urinalysis test	21	20	$16.00	$2.71
71046 X-ray of chest, 2 views	15	14	$70.00	$9.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$261.84	$89.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	60	$265.00	$93.82
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$176.00	$62.80
81003 Automated urinalysis test	22	22	$16.00	$3.02

Medical Specialties & State Licenses

CMS Verified: 2022-06-24

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 020436-1

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

Adventist Health System Sunbelt, Inc.

440 W Hwy 436, Altamonte Springs, FL 327144136

Phone: 4077882000

Adventist Health System Sunbelt, Inc.

11550 University Blvd, Orlando, FL 328172100

Phone: 4073840080

Adventist Health System Sunbelt, Inc.

12500 S Apopka Vineland Rd, Orlando, FL 328366723

Phone: 4079342273

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 24, 2022

Registered at 855 N US HIGHWAY 17 92, LONGWOOD, FL 327503167 (Tel: 7077262768)

✅

NPI Profile Active January 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2017

Registered at 5805 MAIN BAYVIEW RD, SOUTHOLD, NY 119714831 (Tel: 7077262768)

📍

Updated Business Mailing Address January 02, 2017

Registered at 5805 MAIN BAYVIEW RD, SOUTHOLD, NY 119714831 (Tel: 7077262768)

👤

Provider Name / Credentials Updated January 02, 2017

Recorded as SEAN BAXTER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2017

Physician Assistant (License #020436-1 in NY)

🟢

Initial NPI Registration & Enumeration January 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598200438

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 02, 2017

Last Update: June 24, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

855 N Us Highway 17 92

Longwood, FL 327503167

Phone: 7077262768

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.