In order to craft an effective legal strategy to assist clients in reaching their business goals, Sean Timmons draws on a wealth of practical experience and solid understanding of the health care industry, coupled with a firm grasp of substantive law in this highly regulated environment.

Sean advises clients on complex regulatory issues affecting their key strategic initiatives. He has extensive experience counseling clients on clinical integration activities, including:

  • Hospital-physician contracting, such as professional services agreements, service line co-management agreements, and hospital efficiency agreements
  • Development and ongoing representation of clinically integrated networks (CINs) and accountable care organizations (ACOs)

He has extensive experience advising all types of clients on compliance with federal and state fraud and abuse laws and regulations, including the Stark and anti-kickback laws. He regularly assists clients on acquisitions and joint ventures involving healthcare entities. He also regularly advises clients on state and federal laboratory regulation. 

Clients include:

  • Hospitals
  • Physician practices
  • Laboratories
  • Ambulatory surgery facilities
  • Other healthcare provider entities

Whether providing key strategic advice on integration efforts, or in negotiating transactions in the context of complex healthcare regulations, Sean draws on his ability to synthesize and understand the issues, the law, and the facts to help clients achieve their goals.

Education

  • Duke University School of Law (J.D., 1994)
    • Williams College (B.A., cum laude, 1989)
      • with Highest Honors in Music

    Bar Admission

    • North Carolina

    Court Admissions

    • U.S. Court of Appeals, Fourth Circuit
    • U.S. District Court, Eastern District of North Carolina
    • U.S. District Court, Middle District of North Carolina
    • U.S. District Court, Western District of North Carolina

    Professional Affiliations

    • North Carolina Bar Association
    • Wake County Bar Association
    • American Health Lawyers Association
    • North Carolina Society of Healthcare Attorneys 
    • Alice Aycock Poe Center for Health Education

    Recognition

    • Selected for inclusion in Best Lawyers in America® for Health Care Law, 2007-2026
    • Ranked in Chambers USA: America’s Leading Lawyers for Business, Healthcare, North Carolina, Band 2, 2016-2025
    • Selected for inclusion in North Carolina Super Lawyers, 2010-2015
    • Who’s Who in American Law
    Publications
    Don’t Let The Stark Law Catch You Off Guard: Risk Remains Despite the Lull
    Key Takeaways CMS and DOJ activity related to the Stark Law has been notably quiet in recent years, with no material rule updates since 2023 and limited enforcement actions. This slowdown has left many providers wondering whether Stark compliance remains a government priority. Despite the lull, the Stark Law remains a strict liability statute with a six-year lookback period, and core risk areas such as FMV assessments, unsigned contracts and prohibited financial relationships still present exposure. Even technical missteps can trigger penalties, making documentation and exception management critical. Health care providers should take advantage of this quiet period to review their compliance practices, particularly around physician arrangements and designated health services. The Stark Law may have gone quiet, but it hasn’t gone away. One of
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    Virtual Oversight, Real Impacts: “Incident-To” and Beyond in CMS’s CY 2026 PFS Proposed Rule
    Key Takeaways CMS proposes to significantly expand the use of virtual direct supervision for incident-to services, removing prior limitations based on Professional Component (PC)/Technical Component (TC) indicators and Current Procedural Terminology (CPT) codes. Without these proposed changes, most services requiring direct supervision would revert to requiring the supervising practitioner’s physical presence after the PHE-era flexibility ends on December 31, 2025, and only a narrow subset of incident-to services will be eligible for virtual supervision starting on January 1, 2026. In the recently released Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule, the Centers for Medicare and Medicaid Services (CMS) signal a significant shift toward modernizing Medicare’s supervision requirements for “incident to” services. Specifically, CMS proposes to make permanent the ability
    Read More