2026 NPPES data Specialist NPI 1164426508 M.D.
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SEAN LYNCH, M.D.

Specialist in GASTONIA, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
428
Medicare Part D claims · 145 beneficiaries · Specialist avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$741.69
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SEAN LYNCH, M.D. filed 428 Medicare Part D claims in 2023 as a Specialist in GASTONIA, North Carolina, prescribing 93% generic.

428
Part D claims, 2023
93%
generic prescribing
$741.69
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SEAN LYNCH, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

428 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about SEAN LYNCH, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/13/2005

NPI 1164426508

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

428 71% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in North Carolina

How Specialist compares to other specialties among North Carolina providers

North Carolina providers

Specialist share within North Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SEAN LYNCH, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1225 E GARRISON BLVD, GASTONIA, NC, 28054, with a listed phone of (704) 865-7416. NPI 1164426508 was issued on 06/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LYNCH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 428 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $27K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 4.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1225 E GARRISON BLVD
GASTONIA, NC 28054

Provider Details

NPI 1164426508
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/13/2005

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SEAN LYNCH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$742

Largest payer

COLOPLAST CORP

Most common payment type

Travel and Lodging

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

SEAN LYNCH, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 428 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

428
Total Claims
$27K
Total Drug Cost
145
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
684
Total Day Supply
16,431
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$12K
Generic Drug Cost
$15K
Opioid Claims
17 (4.0% rate)
Antibiotic Claims
67

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
1.16
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SEAN LYNCH, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
83
Solifenacin Succinate
63
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
19
Ibuprofen
17
Metronidazole
15
Trospium Chloride
14
Clobetasol Propionate
13
Fluconazole
13
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
13
Ciprofloxacin Hcl
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How SEAN LYNCH, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

SEAN LYNCH, M.D.'s 428 claims are below the specialty average of 1,474.

Nearby Specialist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as LYNCH.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEAN LYNCH, M.D.'s specialty?
SEAN LYNCH, M.D. specializes in Specialist and practices in GASTONIA, North Carolina. Credentials: M.D..
How much does SEAN LYNCH, M.D. prescribe under Medicare Part D?
In 2023, SEAN LYNCH, M.D. wrote 428 Medicare Part D claims totaling $27K in drug costs for 145 beneficiaries.
Where is SEAN LYNCH, M.D. located?
SEAN LYNCH, M.D. is located at 1225 E GARRISON BLVD, GASTONIA, NC, 28054. Phone: (704) 865-7416.
What is SEAN LYNCH, M.D.'s NPI number?
SEAN LYNCH, M.D.'s National Provider Identifier (NPI) is 1164426508, issued on 06/13/2005.
Does SEAN LYNCH, M.D. prescribe more brand-name or generic drugs?
SEAN LYNCH, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $12K in brand drug costs.
Does SEAN LYNCH, M.D. prescribe opioids?
Yes, SEAN LYNCH, M.D. had 17 opioid claims in 2023 with an opioid prescribing rate of 4.0%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does SEAN LYNCH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SEAN LYNCH, M.D.'s most frequently prescribed drugs include Estradiol, Solifenacin Succinate, Clotrimazole-Betamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEAN LYNCH, M.D. accept Medicare?
SEAN LYNCH, M.D. appears in CMS Medicare data with 428 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEAN LYNCH, M.D.'s credentials?
SEAN LYNCH, M.D.'s NPI is 1164426508 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology