DAVID SHEEHAN D.O.
NPI 1003013129
Radiology - Vascular & Interventional Radiology in Doylestown, PA


Quality Rating: 91.5 out of 100 score

NPI Status: Active since July 02, 2007

Contact Information

595 W STATE ST
DOYLESTOWN RADIOLOGY ASSOCIATES
DOYLESTOWN, PA
ZIP 18901
Phone: (215) 345-2849

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 18
  • Radiology
  • Vascular & Interventional Radiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About DAVID SHEEHAN

David Sheehan is a provider established in Doylestown, Pennsylvania and his medical specialization is Radiology with a focus in vascular & interventional radiology with more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1003013129 assigned on July 2007. The practitioner's primary taxonomy code is 2085R0204X with license number OS016077 (PA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI1003013129
Provider NameDAVID SHEEHAN D.O.
Location Address595 W STATE ST DOYLESTOWN RADIOLOGY ASSOCIATES DOYLESTOWN, PA 18901
Location Phone(215) 345-2849
Mailing Address595 W STATE ST DOYLESTOWN RADIOLOGY ASSOCIATES DOYLESTOWN, PA 18901
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date07-02-2007
Last Update Date06-04-2012
Code Navigator

David Sheehan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.5, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: .

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.07 for a new patient copayment and $19.55 for an established patient copayment.

Location Map

Mailing Address

595 W STATE ST
DOYLESTOWN RADIOLOGY ASSOCIATES
DOYLESTOWN, PA
ZIP 18901
Phone: (215) 345-2849

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Vascular & Interventional Radiology

Taxonomy Code2085R0204X
TypeAllopathic & Osteopathic Physicians
License No.OS016077
License StatePA
Taxonomy DescriptionA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

PECOS Enrollment and Medicare Participation Status

David Sheehan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5395909642

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120618000215

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 18901 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.31
  • Minimum New Patient Price $62.8
  • Maximum New Patient Price $189.43
  • Average New Patient Copayment $24.07
  • Minimum New Patient Copayment $15.7
  • Maximum New Patient Copayment $47.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.22
  • Minimum Established Patient Price $19.68
  • Maximum Established Patient Price $154.62
  • Average Established Patient Copayment $19.55
  • Minimum Established Patient Copayment $4.92
  • Maximum Established Patient Copayment $38.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 91.5 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 90

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 170

    X-ray of chest, 1 view (HCPCS:71045)

  • 150

    Ultrasound study of arteries of both arms and legs (HCPCS:93922)

  • 125

    Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)

  • 115

    X-ray of chest, 2 views (HCPCS:71046)

  • 94

    Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

  • 54

    Ct scan head or brain (HCPCS:70450)

  • 48

    Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)

  • 41

    Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)

  • 37

    Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

  • 36

    Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

  • 31

    Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

  • 31

    Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

  • 28

    Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

  • 25

    X-ray of hand, minimum of 3 views (HCPCS:73130)

  • 25

    X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

  • 23

    Ct scan of abdomen and pelvis (HCPCS:74176)

  • 21

    Ultrasound of head and neck (HCPCS:76536)

  • 19

    Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

  • 19

    Ct scan chest (HCPCS:71250)

  • 16

    X-ray of wrist, minimum of 3 views (HCPCS:73110)

  • 16

    Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)

  • 15

    Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

  • 14

    X-ray of knee, 4 or more views (HCPCS:73564)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. David Sheehan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HOSPITAL OF UNIV OF PENNSYLVANIA34TH & SPRUCE STS
PHILADELPHIA, PA 19104
(215) 662-3227Acute Care Hospitals
DOYLESTOWN HOSPITAL595 WEST STATE ST
DOYLESTOWN, PA 18901
(215) 345-2200Acute Care Hospitals

Reviews for DAVID SHEEHAN D.O.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003013129
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 1 + 4 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003013129 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306830815DR. EUGENE H HUNT M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1598750028DR. MARK S SILIDKER M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1093709503DR. PAUL J ADELIZZI M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST RADIOLOGY DEPT
DOYLESTOWN, PA 18901
(215) 345-2290
1558355065DR. CRAIG D KESACK M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1205824026DR. ANDREA CANDIA M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1053309773DR. BRIAN S POLESUK MD
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1679561336DR. PRAMOD DIGAMBER M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1093703753DR. RONALD J COSTANZO M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1093703787DR. SCOTT K PRICE M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1811985500DR. GEORGE G BRACKIN M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1861480311DR. RAJESH RAI M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1437149879DR. DONALD E PARLEE M.D.
Individual
Radiology (Diagnostic Radiology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2290
1700858867 JOSEPH J MCHUGH MD
Individual
Emergency Medicine595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2362
1174595227 ROBERT W LINKENHEIMER DO
Individual
Emergency Medicine595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2673
1083686133 EDWARD G KUBOVSAK MD
Individual
Emergency Medicine595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2362
1932171717 STEPHEN J GAZAK MD
Individual
Emergency Medicine595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2362
1568434165 MARK CHOI MD
Individual
Emergency Medicine595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2362
1225091697DOYLESTOWN HOSPITAL
Organization
General Acute Care Hospital595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2321
1649210220 ROBERT J TROTTA MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2250
1477596195 ROSE M KENNY MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)595 W STATE ST
DOYLESTOWN, PA 18901
(215) 345-2250

Frequently Asked Questions

What is David Sheehan D.O. NPI number?

The NPI number assigned to this healthcare provider is 1003013129, enumerated in the NPI registry as an "individual" on July 02, 2007

Where is the provider located?

The provider is located at 595 W State St Doylestown Radiology Associates Doylestown, Pa 18901 and the phone number is (215) 345-2849

What is the provider specialty code?

The provider's speciality is Radiology with taxonomy code 2085R0204X with a focus in Vascular & Interventional Radiology

How many years of experience does David Sheehan D.O. have?

The provider has more than 18 years of experience.

Is David Sheehan D.O. registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are David Sheehan D.O. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to David Sheehan D.O.?

Medicare beneficiaries should expect a typical cost of $96.31 with an average copayment of $24.07 for new patient appointments. Established patients should expect a typical charge of $78.22 and an average copayment of 19.55. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by David Sheehan D.O.?

The most common procedures or services performed by this practitioner are: X-ray of chest, 1 view, Ultrasound study of arteries of both arms and legs, Ultrasound study of arteries and arterial grafts of both legs, X-ray of chest, 2 views, Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes, Ct scan head or brain, Fluoroscopic guidance for insertion, replacement or removal of central venous access device, Radiological supervision and interpretation of ct guidance for needle insertion, Ultrasound guidance for accessing into blood vessel, Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, Ct scan of abdomen and pelvis with contrast, Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, X-ray of hand, minimum of 3 views, X-ray of hip with pelvis, 2-3 views, Ct scan of abdomen and pelvis, Ultrasound of head and neck, Ultrasonic guidance imaging supervision and interpretation for insertion of needle, Ct scan chest, X-ray of wrist, minimum of 3 views, Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older, Insertion of central venous catheter for infusion, patient 5 years or older and X-ray of knee, 4 or more views.

Is David Sheehan D.O. affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): HOSPITAL OF UNIV OF PENNSYLVANIA and DOYLESTOWN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on July 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.