Sean Gupton, MD
NPI 1396796504 · Family Medicine Physician · Henderson, NV
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Gupton, MD is a Family Medicine Physician provider in Henderson, NV (NPI 1396796504).
Provider details
- NPI number
- 1396796504
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD-13784 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
108 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $125 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 21 | $89 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 20 | $176 |
| Automated Urinalysis Test81003 | 12 | $2 |
Typical Medicare-allowed amounts for these services range $2–$176 (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 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 133 | 128 |
| Prednisone | 99 | 97 |
| Cyclobenzaprine Hcl | 63 | 60 |
| Methylprednisolone | 54 | 52 |
| Doxycycline Monohydrate | 39 | 38 |
| Mupirocin | 37 | 31 |
| Meloxicam | 31 | 29 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$155 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
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2024-06-18
- Certified
- 2024-06-18
Frequently asked questions
- What is Sean Gupton's NPI number?
- Sean Gupton's National Provider Identifier (NPI) is 1396796504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Gupton's specialty?
- Sean Gupton is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Gupton located?
- Sean Gupton's practice location on file with NPPES is 2845 Siena Heights Dr Ste 1100, Henderson, NV 89052-4161.
- What is Sean Gupton's phone number?
- The practice phone number listed in the NPPES registry for Sean Gupton is (808) 667-6161.
- Does Sean Gupton accept Medicare?
- Sean Gupton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Gupton's NPI active?
- Yes — Sean Gupton's NPI (1396796504) is active in the NPPES registry as of the last update on 2024-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.