Dr Sean S Gupton, MD - Medicare Family Practice in Lahaina, HI

Dr Sean S Gupton, MD is a medicare enrolled "Family Medicine" physician in Lahaina, Hawaii. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Optum Medical Group Ii Rhodes P C and his current practice location is 305 Keawe St, Suite 507, Lahaina, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 667-6161.

Dr Sean S Gupton is licensed to practice in Hawaii (license number MD-13784) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396796504.

Contact Information

Dr Sean S Gupton, MD
305 Keawe St, Suite 507,
Lahaina, HI 96761-2734
(808) 667-6161
(808) 667-6166

Map and Direction




Physician's Profile

Full NameDr Sean S Gupton
GenderMale
SpecialityFamily Practice
Experience27 Years
Location305 Keawe St, Lahaina, Hawaii
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sean S Gupton graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1396796504
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 01/15/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9436122264
  • Enrollment ID: I20171108002244

Medical Identifiers

Medical identifiers for Dr Sean S Gupton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396796504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD-13784 (Hawaii)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optum Medical Group Ii Rhodes P C4981687779318

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sean S Gupton allows following entities to bill medicare on his behalf.
Entity NameSouthwest Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346005
PECOS PAC ID: 6103730544
Enrollment ID: O20031118001102
Entity NameOptum Medical Group Ii Rhodes P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770556037
PECOS PAC ID: 4981687779
Enrollment ID: O20040611000770

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sean S Gupton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sean S Gupton, MD
305 Keawe St, Suite 507,
Lahaina, HI 96761-2734

Ph: (808) 667-6161
Dr Sean S Gupton, MD
305 Keawe St, Suite 507,
Lahaina, HI 96761-2734

Ph: (808) 667-6161

Reviews and Comments


Family Medicine Doctors in Lahaina, HI

Anne Biedel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Prison St, Lahaina, HI 96761
Phone: 808-242-6464    Fax: 808-984-7430
Vincent Christian Fussell, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3350 Lower Honoapiilani Rd Ste 211, Lahaina, HI 96761
Phone: 808-667-7676    Fax: 808-667-7678
Dr. Sharita B. A. Abbott, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 910 Wainee St, Lahaina, HI 96761
Phone: 808-662-6900    
Dr. Elizabeth Wright Schusser, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 180 Dickenson St Ste 103, Lahaina, HI 96761
Phone: 808-662-5642    Fax: 808-662-5642
Dr. Ben Kamarudin Azman, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2435 Kaanapali Pkwy, Suite H-7, Lahaina, HI 96761
Phone: 808-667-9721    Fax: 808-661-1584
Kyle E. Mouery, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 910 Wainee St, Lahaina, HI 96761
Phone: 808-662-6900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.