Quick answers
- Does Sean R. Fletcher accept Medicare assignment?
- Yes. Medicare's clinician data says Sean R. Fletcher accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Sean R. Fletcher see?
- In 2024, CMS data shows 94 Original Medicare patients and 2,659 services for Sean R. Fletcher. This counts Original Medicare only and measures volume, not quality.
- What is Sean R. Fletcher's NPI number?
- 1790195212. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Sean R. Fletcher, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 94 |
|---|---|
| Services billed to Medicare | 2,659 |
| Different services or procedures | 38 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- Injection, methylprednisolone acetate, 1 mg (J1010)1,840 services
- Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)233 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)149 services
- Injection, dexamethasone sodium phosphate, 1 mg (J1100)121 services
- New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)79 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis75%
- Diabetes38%
- Chronic kidney disease32%
- Ischemic heart disease29%
Practice locations
Addresses where Sean R. Fletcher is enrolled with Medicare (CMS data updated October 2, 2026).
- 11227 Toepperwein Rd, Suite 100Live Oak, TX 78233 (210) 600‑9766
- 3415 Paesanos Pkwy, Suite 100San Antonio, TX 78231 (210) 600‑9766
Group practices
Medicare enrollment lists Sean R. Fletcher as a member of this group (CMS data updated October 2, 2026).
- Sigma Pain Clinic PA5 clinicians in the group
Specialties
Find other Physical Medicine and Rehabilitation doctors in Texas →
Other rehabilitation doctors in Texas
Clinicians with the same Medicare primary specialty in Texas — not a recommendation.
Other clinicians in Sigma Pain Clinic PA
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | Virginia Tech Carilion School Of Medicine |
| Graduation year | 2014 (12 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1790195212 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians