Sean Edelstein, MD
NPI 1679520605 · Ophthalmology Physician · Saint Louis, MO
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Edelstein, MD is a Ophthalmology Physician provider in Saint Louis, MO (NPI 1679520605).
Provider details
- NPI number
- 1679520605
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2005019369 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
876 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 Complete Exam of Visual System92014 | 122 | $118 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 108 | $477 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 92 | $124 |
| Measurement of Corneal Curvature and Depth of Eye92136 | 90 | $38 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 65 | $88 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 606 | 312 |
| Ofloxacin | 313 | 205 |
| Ketorolac Tromethamine | 228 | 153 |
| Erythromycin Basebrand: Erythromycin | 178 | 71 |
| Latanoprost | 167 | 43 |
| Brimonidine Tartrate | 123 | 35 |
| Acyclovir | 121 | 26 |
| Loteprednol Etabonate | 89 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$943 across 14 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
- 2006-05-27
- Last updated
- 2021-01-19
- Certified
- 2021-01-07
Frequently asked questions
- What is Sean Edelstein's NPI number?
- Sean Edelstein's National Provider Identifier (NPI) is 1679520605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Edelstein's specialty?
- Sean Edelstein is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Edelstein located?
- Sean Edelstein's practice location on file with NPPES is 1225 S Grand Blvd, Saint Louis, MO 63104-1016.
- What is Sean Edelstein's phone number?
- The practice phone number listed in the NPPES registry for Sean Edelstein is (314) 977-5200.
- Does Sean Edelstein accept Medicare?
- Sean Edelstein is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Edelstein's NPI active?
- Yes — Sean Edelstein's NPI (1679520605) is active in the NPPES registry as of the last update on 2021-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.