NPPES file of Aug 9, 2026

Sean Balkcom, PA-C

Physician Assistant · Pomona, CA

Sean Balkcom, PA-C is a physician assistant with a practice address in Pomona, California, and NPI 1831647387, issued on Sep 13, 2016. Check the license (California 53988, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1831647387
Name
Sean Balkcom
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
53988 CA
Self-reported in NPPES; status is on the state search
Practice location
255 E Bonita Ave Ste 101, Pomona, CA 91767
Phone
(909) 593-7437
Enumerated
Sep 13, 2016
Record last updated
Feb 7, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(909) 593-0318
Medicare enrollment
Enrolled (PECOS I20170422000181); accepts Medicare assignment
Medical or professional school
Western University Of Health Sciences College Of Dental Med, 2016
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 255 E Bonita Ave Ste 101

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Steven Bast, MDOrthopaedic Surgery Physician1659348621
  2. Luis Corrales, MDOrthopaedic Surgery Physician1770807265
  3. Nayeli Diane De La PazPhysician Assistant1770127375
  4. Jesus FajardoOrthopaedic Surgery Physician1003236845
  5. Benjamin Kamel, DPMFoot & Ankle Surgery Podiatrist1396192712
  6. James Lilley, M.D.Orthopaedic Surgery Physician1982642153

Verify Sean Balkcom in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 53988
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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11% more Medicare Part D claims than the average physician assistant in 2024

924 Medicare Part D claims for 292 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims. 256 claims were for opioids.

  1. Sean Balkcom924
  2. Specialty average830

Most prescribed

  1. Hydrocodone-Acetaminophen188 claims
  2. Baclofen172 claims
  3. Ciprofloxacin Hcl76 claims
  4. Doxycycline Hyclate75 claims
  5. Gabapentin73 claims
  6. Xarelto50 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 85.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score71.8
  2. Costout of 100 · 30%64.5
  3. Promoting interoperabilityout of 100 · 25%82.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Faculty Physicians And Surgeons OF LlusmLoma Linda, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sean Balkcom among 14,451 physician assistant records in California

Sean Balkcom, PA-C is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 44% of them.

  • NPI issued2016 · 44% of these records are older, 53% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated2016 · median 2018 among the 7,214 with a school on file
  • Record last updated2020 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

186 physician assistant records list a practice address in Pomona

They are 186 of the 5,102 NPPES records with a practice address in Pomona, and 14,451 physician assistant records in California.

The 8 physician assistant records with the nearest ZIP codes

  1. Jaison Fraizer, PA-CPomona, CA 917671073551263
  2. Peta-Gay Gihbsson, P.A.-CPomona, CA 917671295988095
  3. Yoodiy Gonzales, PAPomona, CA 917671942366281
  4. Jehan Goubran, PACPomona, CA 917671942413356
  5. Manuela Hess, PA-CPomona, CA 917671508019167
  6. Catherine Letherer, PA-CPomona, CA 917671265476485
  7. Joel LopezPomona, CA 917671659526911
  8. Erin Merchant, P.A.-C.Pomona, CA 917671619089117

Common questions

What is Sean Balkcom, PA-C's NPI number?

Sean Balkcom, PA-C's National Provider Identifier (NPI) is 1831647387, issued on Sep 13, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Sean Balkcom, PA-C located?

The NPPES record lists a practice address at 255 E Bonita Ave Ste 101, Pomona, CA, 91767. Phone: (909) 593-7437. Providers update this record themselves, so call before visiting.

How can I verify Sean Balkcom, PA-C's license?

NPPES lists California license number 53988, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Sean Balkcom, PA-C prescribe under Medicare Part D?

In 2024, Sean Balkcom, PA-C had 924 Medicare Part D claims for 292 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Sean Balkcom, PA-C's MIPS final score?

The 2023 MIPS final score is 85.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.