Dr. Sean Sutphen
- Gender: Male
- Sole propriator: No
- NPI: 1124648696
Dr. Sean Sutphen DO
Resident
He is located at 714 Lincoln Street Northeast in Le Mars, IA 51031. His National Provider Identifier (NPI) number is 1124648696. Appointment can be made via the phone number (712) 546-3677.
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Sean Sutphen as in-network for the following 2026 plans.
Health plans
Medica
Network data as of May 6, 2024, as reported by the insurer.
Show all 18 plans from Medica
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Inspire by Medica Bronze $0 Copay PCP Visits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Inspire by Medica Bronze Share | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Inspire by Medica Expanded Bronze Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Inspire by Medica Gold $0 Copay PCP Visits | EPO · Gold | Preferred | Accepting new patients |
| Inspire by Medica Gold Share | EPO · Gold | Preferred | Accepting new patients |
| Inspire by Medica Gold Standard | EPO · Gold | Preferred | Accepting new patients |
| Inspire by Medica Silver $0 Copay PCP Visits | EPO · Silver | Preferred | Accepting new patients |
| Inspire by Medica Silver Share | EPO · Silver | Preferred | Accepting new patients |
| Inspire by Medica Silver Standard | EPO · Silver | Preferred | Accepting new patients |
| Medica Insure Bronze $0 Copay PCP Visits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica Insure Bronze Share | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica Insure Expanded Bronze Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica Insure Gold $0 Copay PCP Visits | EPO · Gold | Preferred | Accepting new patients |
| Medica Insure Gold Share | EPO · Gold | Preferred | Accepting new patients |
| Medica Insure Gold Standard | EPO · Gold | Preferred | Accepting new patients |
| Medica Insure Silver $0 Copay PCP Visits | EPO · Silver | Preferred | Accepting new patients |
| Medica Insure Silver Share | EPO · Silver | Preferred | Accepting new patients |
| Medica Insure Silver Standard | EPO · Silver | Preferred | Accepting new patients |
Wellmark Health Plan of Iowa, Inc.
Network data as of Sep 8, 2026, as reported by the insurer.
Show all 7 plans from Wellmark Health Plan of Iowa, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellmark Bronze HDHP HMO HSA Qualified | HMO · Expanded Bronze | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Bronze Traditional HMO | HMO · Expanded Bronze | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Gold Traditional HMO | HMO · Gold | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Silver Traditional HMO | HMO · Silver | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Standard Bronze HMO | HMO · Expanded Bronze | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Standard Gold HMO | HMO · Gold | Wellmark Blue HMO Network | Accepting new patients |
| Wellmark Standard Silver HMO | HMO · Silver | Wellmark Blue HMO Network | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Sean Sutphen is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Sean Sutphen is enrolled to bill Medicare as a Practitioner - Family Practice .
Bills through: Valley Regional Enterprises, Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
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Questions & Answers
Does Dr. Sean Sutphen accept insurance?
Dr. Sean Sutphen is listed in-network for 25 ACA Marketplace (Obamacare/HealthCare.gov) plans from Medica, Wellmark Health Plan of Iowa, Inc.. See the Marketplace plans section for details.
Where can you meet with Dr. Sean Sutphen?
Dr. Sean Sutphen's office is located at 714 Lincoln Street Northeast in Le Mars, IA 51031.