Sean Desimone, DO
NPI 1225422041 · Internal Medicine Physician · Somerset, KY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Desimone, DO is a Internal Medicine Physician provider in Somerset, KY (NPI 1225422041).
Provider details
- NPI number
- 1225422041
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
917 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 | 227 | $74 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 206 | $46 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 186 | $122 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 174 | $106 |
| Insertion of Tube for Infusion With Imaging Guidance and Review By Radiologist, Patient 5 Years Or Older36573 | 23 | $77 |
| Aspiration of Fluid From Chest Cavity Using Imaging Guidance32555 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 61 | 15 |
| Metoprolol Tartrate | 53 | 15 |
| Metoprolol Succinate | 50 | 12 |
| Amiodarone Hcl | 43 | 14 |
| Pantoprazole Sodium | 39 | 16 |
| Famotidine | 38 | 20 |
| Sucralfate | 38 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$39 across 2 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
Registry dates
- Enumerated
- 2015-03-19
- Last updated
- 2018-04-03
Frequently asked questions
- What is Sean Desimone's NPI number?
- Sean Desimone's National Provider Identifier (NPI) is 1225422041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Desimone's specialty?
- Sean Desimone is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Desimone located?
- Sean Desimone's practice location on file with NPPES is 350 Hospital Way, Somerset, KY 42503-2872.
- What is Sean Desimone's phone number?
- The practice phone number listed in the NPPES registry for Sean Desimone is (606) 451-5093.
- Does Sean Desimone accept Medicare?
- Sean Desimone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Desimone's NPI active?
- Yes — Sean Desimone's NPI (1225422041) is active in the NPPES registry as of the last update on 2018-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.