Individual provider Active NPI

Sean Christopher Skelton, D.O.

  • Otolaryngology Physician
  • La Mesa, CA
National Provider Identifier
1063592277
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20A 7852 Issued in CA
Practice address
5565 Grossmont Center Dr Ste 101
La Mesa, CA 91942-3021
Phone
(619) 464-3353
Fax
(619) 464-6720
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20A 7852 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Dr Ste 101
La Mesa, CA 91942-3021

Mailing address

5565 Grossmont Center Dr Ste 101
La Mesa, CA 91942-3021
Phone (619) 464-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301002714 CA Practitioner - Otolaryngology 2163747866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Midwestern University, Chicago College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillcrest Ear Nose and Throat IncGroup PAC ID 4789087313, 3 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

4033 3Rd Ave
Suite 104
San Diego, CA 92103-2136
Phone (619) 294-2350

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Merit-based Incentive Payment System (MIPS)

Final score
99.5 of 100Reported as group
Quality
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 7852CAMDOtolaryngology Physician
7852CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Apr 1, 2018 Accepting new patients
Ear Nose and Throat Associates of San Diego a Medical Corp Otolaryngology CurrentSince Apr 1, 2018 Accepting new patients
Hillcrest Ear Nose & Throat Inc Otolaryngology CurrentSince Jan 1, 2026 Accepting new patients
Scripps Health Current Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Trinity Hospitals Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

1671 W Main St
Ste B
El Centro, CA 92243
Phone (442) 271-4050

1955 Citracado Pkwy
Escondido, CA 92029
Phone (760) 738-1715

1955 Citracado Pkwy
Ste 303
Escondido, CA 92029

5565 Grossmont Center Dr
Ste 154
La Mesa, CA 91942
Phone (619) 465-0083

5565 Grossmont Center Dr
Ste 3101
La Mesa, CA 91942

5565 Grossmont Center Dr
Ste 101
La Mesa, CA 91942
Phone (619) 464-3353

5565 Grossmont Center Dr
Ste 3
La Mesa, CA 91942
Phone (619) 465-3443

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4033 3rd Ave
Ste 104
San Diego, CA 92103
Phone (619) 294-2038

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sskelton72616@scrippshlth.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1063592277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423021",
            "telephone_number": "619-464-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423021",
            "telephone_number": "619-464-3353",
            "fax_number": "619-464-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "SEAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "20A 7852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.