Sean Sutphen, DO
NPI 1124648696 · Family Medicine Physician · Le Mars, IA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Sutphen, DO is a Family Medicine Physician provider in Le Mars, IA (NPI 1124648696).
Provider details
- NPI number
- 1124648696
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0102207523 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
67 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 29 | $73 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 24 | $115 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 14 | $98 |
Typical Medicare-allowed amounts for these services range $73–$115 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 42 | — |
| Atorvastatin Calcium | 41 | 14 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 39 | 17 |
| Omeprazole | 35 | — |
| Levothyroxine Sodium | 34 | 11 |
| Gabapentin | 32 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$281 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (6)
- 415a South StFront Royal, VA 22630-2115Phone: (540) 636-0495Fax: (540) 636-0450
- 65 Riverton Commons DrFront Royal, VA 22630-6768Phone: (154) 063-5070
- 5301 Main StMount Jackson, VA 22842-9649Phone: (540) 459-1250Fax: (540) 459-1251
- 33820 Old Valley Pike Ste 2Strasburg, VA 22657-3793Phone: (540) 459-1310Fax: (540) 459-1311
- 160 Merchant St Ste 200Winchester, VA 22603-4772Phone: (540) 536-5950Fax: (540) 536-5955
- 607 E Jubal Early DrWinchester, VA 22601-5178Phone: (540) 536-2232Fax: (540) 536-2206
Registry dates
- Enumerated
- 2020-04-24
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
Frequently asked questions
- What is Sean Sutphen's NPI number?
- Sean Sutphen's National Provider Identifier (NPI) is 1124648696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Sutphen's specialty?
- Sean Sutphen is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Sutphen located?
- Sean Sutphen's practice location on file with NPPES is 714 Lincoln St Ne, Le Mars, IA 51031-3311.
- What is Sean Sutphen's phone number?
- The practice phone number listed in the NPPES registry for Sean Sutphen is (712) 546-3677.
- Does Sean Sutphen accept Medicare?
- Sean Sutphen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Sutphen's NPI active?
- Yes — Sean Sutphen's NPI (1124648696) is active in the NPPES registry as of the last update on 2024-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.