DR. SEAN PATRICK WHALEN M.D.
NPI 1043429152
Nuclear Medicine in New York, NY

Q: What is Sean Whalen's NPI number?

The NPI number for Sean Whalen is 1043429152. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Sean Whalen's specialty?

The primary specialty registered for this NPI is Nuclear Medicine with taxonomy code 207U00000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Whalen was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

622 W 168TH ST, NEW YORK, NY 10032(212) 305-9729 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2026, Jan 13, 2026, Nov 5, 2025 and 1 more (4 updates tracked since 2025).

On this page

About Dr. Sean Patrick Whalen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEAN PATRICK WHALEN M.D. (NPI 1043429152) is an individual nuclear medicine provider in New York, New York, licensed in New York (333142) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043429152

Entity TypeIndividualMale

Primary Taxonomy207U00000X

Provider Legal NameDR. SEAN PATRICK WHALENCredential: M.D.

Location Address622 W 168TH STNew York, NY 10032-3720

Mailing Address550 W 54th St Apt 26qNew York, NY 10019-5996 · (213) 222-3867

Phone(212) 305-9729

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2002

Enumeration DateMay 22, 2007

Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1043429152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNuclear MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207U00000X

License✔ Licensed in NY · 333142

Definition

A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 2007-01157 (NC), MD61564785 (WA), 082422 (CT), A87385 (CA), 333142 (NY)

622 W 168TH ST, New York, NY 10032

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1834 Sheridan StPort Townsend, WA 98368-2443 · Phone (360) 385-2200

Location 2550 W 54th St Apt 26QNew York, NY 10019-5996 · Phone (213) 222-3867

Location 3300 W 27th StLumberton, NC 28358-3075 · Phone (910) 671-5000

Location 4263 Farmington AveFarmington, CT 06030-2803 · Phone (860) 679-2784 · Fax (860) 679-4126

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sean Patrick Whalen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779678073

PECOS Enrollment IDI20071002000339, I20181018002010, I20250117000838, I20250128002849, I20250619001222, I20250715000628, I20250812003232, I20260127004345

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Q9965

Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.

32,548 services119 patients

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320

Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.

23,450 services112 patients

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

3,210 services28 patients

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

1,472 services26 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

696 services122 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

695 services122 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330304

Location41 East Post R0adWhite Plains, NY 10601 · Westchester County

Emergency services Birthing friendly

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340050

Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County

Emergency services Birthing friendly

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500003

Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

100%82 patients5/55-star benchmark: 100%

Patient-Generated Health Data

Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.

9%22 patients

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

95%22 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

96%28 patients4/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

100%127 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

91%127 patients5/55-star benchmark: 75%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843

DME-Orthotic Devices · category DF011N

3 suppliers62 claims80 services$746.91 avg. paid by Medicare

Addition to lower extremity orthosis, suspension sleeve L2397

DME-Orthotic Devices · category DF000N

3 suppliers73 claims98 services$89.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Internal Medicine (Nephrology)

622 W 168TH ST, PH4-124
NEW YORK, NY 10032

New York County (212) 305-5020

CHARLES D RESOR

Internal Medicine