Sean E Maynard, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA592 Issued in KY

Practice address

73 Kingswood Dr
Campbellsville, KY 42718-9604

Phone

(270) 849-2379

Fax

(270) 465-2126

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Regional Medical Group LLCGroup PAC ID 4880616622, shared by 4 NPIs, 60 clinicians

PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, shared by 15 NPIs, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
• Vna Health at Home Home health agency, Louisville, KY, CCN 187000
• Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087
• TJ Health Columbia Hospital, Columbia, KY, CCN 180149

Merit-based Incentive Payment System (MIPS)

Final score

73.96 of 100Reported as group

Quality

62.41

Promoting interoperability

69

Improvement activities

40

Cost

71.3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Taylor Regional Medical Group LLC

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1073370185

  KY, Medical

  Medicare reassignment NPD
• Taylor Regional Medical Group, LLC

  • Family Medicine Physician
  • Campbellsville, KY
  • NPI 1699030031

  KY, Medical

  Medicare reassignment NPD

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

• Family Home Health Care LLC

  • Home Health Agency
  • Columbia, KY
  • NPI 1891765723
  Care Compare affiliation
• Lifeline Home Health Care of Somerset, LLC

  • Home Health Agency
  • Somerset, KY
  • NPI 1114951993
  Care Compare affiliation
• Saint Joseph-Anc Home Care Services, LLC

  • Home Health Agency
  • Louisville, KY
  • NPI 1114279510
  Care Compare affiliation
• T J Health Columbia Inc

  • General Acute Care Hospital
  • Columbia, KY
  • NPI 1134585656

  Hospital

  Care Compare affiliation
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1962494716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189647",
            "telephone_number": "270-465-3812",
            "fax_number": "270-465-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189604",
            "telephone_number": "270-849-2379",
            "fax_number": "270-465-2126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Kingswood Dr",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189647",
            "country_code": "US",
            "telephone_number": "270-465-3812",
            "fax_number": "270-465-8352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Kingswood Dr",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189604",
            "country_code": "US",
            "telephone_number": "270-465-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "SEAN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "PA592",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500143400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Mason
• Lila Lee Masterson, ST
• John Harold Matthews, O.D.
• Melissa Mattingly-Mardis, OTR/L
• Amanda Lauren Mattingly, APRN
• McCloud Inc.
• Becky Jo McFee, PT
• Jessika McGuffin
• Kimberly Rose McKenna, ARNP
• Richard Alexander McKinley

• All providers in Campbellsville, KY
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.