DR. SEAN PATRICK WHALEN M.D.
NPI 1043429152
Nuclear Medicine in New York, NY
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 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
42Medicare enrollment records show Sean Whalen reassigns Medicare billing to 42 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 181 clinicians in this Medicare group
New York, NY 10019
- Reassigned Medicare billing, New York enrollment
- 232 clinicians in this Medicare group
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 445 clinicians in this Medicare group
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 479 clinicians in this Medicare group
South Setauket, NY 11720
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Farmington, CT 06030
- Reassigned Medicare billing, Connecticut enrollment
- 788 clinicians in this Medicare group
Stafford, VA 22554
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
New Bern, NC 28562
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Morrisville, NC 27560
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYSoutheastern Regional Medical Center
Acute Care Hospitals · Lumberton, NCJefferson Healthcare
Critical Access Hospitals · Port Townsend, WAPhysician 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.
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.
Reported Quality Measures
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.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Sean Whalen located?
Sean Whalen practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-9729.
What is Sean Whalen's specialty?
The primary specialty registered for this NPI is Nuclear Medicine with taxonomy code 207U00000X.
Is Sean Whalen enrolled in Medicare?
Yes. Sean Whalen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sean Whalen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Whalen reassigns Medicare benefits to 42 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Columbia/Newyork-Presbyterian Advanced Imaging Inc. (New York, NY), Columbiadoctors/Newyork-Presbyterianimaging (New York, NY), White Plains Physician Services PC (White Plains, NY), East Post Road Medical Services PC (White Plains, NY) and 37 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Whalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Whalen accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer list Sean Whalen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sean Whalen affiliated with any hospitals?
According to CMS data, Sean Whalen is affiliated with White Plains Hospital Center, Southeastern Regional Medical Center and Jefferson Healthcare.
When was this NPI record last updated?
The NPPES record for Sean Whalen was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Dr. Sean Patrick Whalen, M.D. · NPI 1043429152
Nuclear Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1043429152 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Nuclear Medicine · taxonomy 207U00000X
- **State license:** 333142 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 622 W 168TH ST, New York, NY 10032-3720
- **Phone:** (212) 305-9729
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 42 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY); Columbia/Newyork-Presbyterian Advanced Imaging Inc. (NPI 1356171797, New York, NY); Columbiadoctors/Newyork-Presbyterianimaging (NPI 1902345986, New York, NY); White Plains Physician Services PC (NPI 1124502687, White Plains, NY); East Post Road Medical Services PC (NPI 1841767274, White Plains, NY); and 37 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 2002
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043429152) · Data from the CMS NPPES public registry.