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Sean Doherty , PA-C

Physician Assistant β€’ Red Wing, MN

Active NPI 1124844857 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

701 Hewitt Blvd
Red Wing, MN 550662848

Call 6512675000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

701 Hewitt Blvd

Red Wing, MN 550662848

Telephone 6512675000
Organization at the Same NPPES Address or Phone
Mayo Clinic Health System-Southeast Minnesota Region Facility NPI 1164400024

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Eagan, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mayo Clinic Health System-Southeast Minnesota Region. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Sean Doherty has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Sean Doherty as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Red Wing and Minnesota

16 active clinicians are listed under Physician Assistant with a practice address in Red Wing, MN (4,007 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Red Wing

37.5% of these 16 clinicians have the CMS telehealth indicator.

87.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 15166

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250423002917

Enrollment State Jurisdiction

MN

PECOS Control ID

1355866245

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mayo Clinic Health System-Southeast Minnesota Region

404 W Fountain St, Albert Lea, MN 560072437

Phone: 5073732384

Mayo Clinic Health System-Southeast Minnesota Region

701 Hewitt Blvd, Red Wing, MN 550662848

Phone: 6512675000

Secondary Practice Locations

1380 Corporate Center Curv Ste 305

Eagan, MN 551211200

Phone: 4406008983

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1386653384

Doctor of Medicine (M.D.)

Kristin Ahdunko , PA

Physician Assistant

NPI 1497724272

Physician Assistant

Dr. Said Al Tawil , MD

Family Medicine - Geriatric Medicine

NPI 1114290442

Doctor of Medicine (M.D.)

Dr. David Bahl , MD

Family Medicine

NPI 1912974569

Doctor of Medicine (M.D.)

Dr. Jennifer Bailey , PhD

Psychologist - Clinical

NPI 1114448156

Doctor of Philosophy (Ph.D.)

Christopher Ball , CRNA

Nurse Anesthetist, Certified Registered

NPI 1467408625

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 21, 2025

Registered at 701 HEWITT BLVD, RED WING, MN 550662848 (Tel: 6512675000)

πŸ“
Updated Business Mailing Address April 21, 2025

Registered at PO BOX 860912, MINNEAPOLIS, MN 554860912 (Tel: 5072842511)

βœ…
NPI Profile Active November 26, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 26, 2024

Registered at 1380 CORPORATE CENTER CURV STE 305, EAGAN, MN 551211200 (Tel: 4406008983)

πŸ“
Business Mailing Address (Initial Record) November 26, 2024

Registered at 1380 CORPORATE CENTER CURV STE 305, EAGAN, MN 551211200

πŸ‘€
Provider Name / Credentials (Initial Record) November 26, 2024

Recorded as SEAN DOHERTY, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2024

Physician Assistant (license number reported to NPPES: MN 15166)

🟒
Initial NPI Registration & Enumeration November 26, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124844857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2024
Last Update: April 21, 2025
Sole Proprietor: No

Other Physician Assistants in Red Wing

All Physician Assistants in Red Wing

Mailing Address

Po Box 860912

Minneapolis, MN 554860912

Phone: 5072842511

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.