Individual provider Active NPI

Sean C Hodson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crestview, FL
National Provider Identifier
1114225380
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3469 Issued in FL
Practice address
502 S Ferdon Blvd Ste B
Crestview, FL 32536-4238
Phone
(850) 622-1607
Fax
(888) 302-6552
NPI assigned
Mar 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3469 FL Primary

Addresses

Primary practice location

502 S Ferdon Blvd Ste B
Crestview, FL 32536-4238

Mailing address

771 Harbor Blvd Ste 400 #410
Destin, FL 32541-2638
Phone (850) 622-1607

Other practice location 1

1032 Mar Walt Dr Unit 100
Fort Walton Beach, FL 32547-6661
Phone (850) 622-1607

Other practice location 2

4400 E Highway 20 Ste 201
Niceville, FL 32578-7700
Phone (850) 622-1607

Other practice location 3

4012 Commons Dr W Ste 110
Destin, FL 32541-8424
Phone (850) 622-1607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000641 FL Practitioner - Podiatry 4587842604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4554 E Hwy 20 E
Niceville, FL 32578-9755
Phone (850) 622-1607

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.85 of 100Reported as individual
Quality
81.91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1024
Removal of skin lesions291
Removal of nail tissue2448
Removal or shaving of skin growth1921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3469FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayne Jones Army Community Hospital PastSince Mar 29, 2020 Accepting new patients

Organizations & group practices 2

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 3

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": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1114225380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 HARBOR BLVD STE 400 #410",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412638",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S FERDON BLVD STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364238",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 Mar Walt Dr Unit 100",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476661",
            "country_code": "US",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 E Highway 20 Ste 201",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325787700",
            "country_code": "US",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4012 Commons Dr W Ste 110",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325418424",
            "country_code": "US",
            "telephone_number": "850-622-1607",
            "fax_number": "888-302-6552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODSON",
        "first_name": "SEAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.