Sean Kearns, M.D.
NPI 1568996619 · Pulmonary Disease Physician · Fishersville, VA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Kearns, M.D. is a Pulmonary Disease Physician provider in Fishersville, VA (NPI 1568996619).
Provider details
- NPI number
- 1568996619
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 302247 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
140 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 102 | $208 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 38 | $117 |
Typical Medicare-allowed amounts for these services range $117–$208 (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.
Practice location
Mailing address
Additional practice locations (2)
- 274 Union Blvd Ste 200Lakewood, CO 80228-1835Phone: (303) 951-0600
- 78 Medical Center DrFishersville, VA 22939-2332Phone: (540) 245-7216Fax: (540) 332-4616
Registry dates
- Enumerated
- 2017-04-16
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Sean Kearns's NPI number?
- Sean Kearns's National Provider Identifier (NPI) is 1568996619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Kearns's specialty?
- Sean Kearns is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Kearns located?
- Sean Kearns's practice location on file with NPPES is 70 Medical Center Cir Ste 308, Fishersville, VA 22939-2273.
- What is Sean Kearns's phone number?
- The practice phone number listed in the NPPES registry for Sean Kearns is (540) 245-7190.
- Does Sean Kearns accept Medicare?
- Sean Kearns is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Kearns's NPI active?
- Yes — Sean Kearns's NPI (1568996619) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.