Sean Lewis Edelstein, MD
NPI 1679520605ActiveIndividual· Ophthalmology· Saint Louis, MO
Ophthalmology (MD) with Ssm Health Care Group and 1 other group, practicing in Saint Louis, Missouri. Their prescriptions cost Medicare Part D more than their services did: $232,365 for 2,821 claims, against $119,553 paid for services in 2024. Alcon Vision LLC was the largest of 9 companies reporting payments in 2025, $953.35 in all, mostly food and beverage. Lists Ssm Health Saint Louis University Hospital as a hospital affiliation.
Overview
| NPI | 1679520605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 27, 2006 |
| Last updated in NPPES | Jan 19, 2021 |
| Certified by provider | Jan 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 2005019369 | MO |
| Emergency Medicine | 207P00000X | 2005019369 | MO |
| Internal Medicine | 207R00000X | 2005019369 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (IL); Practitioner - Ophthalmology (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 418 |
|---|---|
| Services billed | 1,013 across 45 procedure codes |
| Paid by Medicare | $119,553 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,821 · 4,192 30-day fills |
|---|---|
| Patients | 533 |
| Total drug cost | $232,365 |
| Generic share | 63% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Ophthalmology |
| Secondary specialties | Emergency Medicine, Internal Medicine, Otolaryngology |
Medical groups
- Ssm Health Care GroupSaint Louis, MO · 940 clinicians
- Jfj Eyecare LtdBelleville, IL · 13 clinicians
Hospital affiliation
- Ssm Health Saint Louis University HospitalSaint Louis, MO
Industry payments (Open Payments)
- 2025$953.35 · 20 payments from 9 companies
- 2024$942.96 · 14 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $367.37 | 5 |
| Tarsus Pharmaceuticals, Inc. | $249.45 | 7 |
| Rxsight Inc | $144.11 | 1 |
| Glaukos Corporation | $76.45 | 2 |
| Amgen Inc. | $27.08 | 1 |
What the 2025 payments were for
- Food and Beverage$953.35 · 20 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 131 ophthalmologists in Saint Louis · All ophthalmologists in Missouri