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DR. SEAN TIRNEY MD
NPI 1063484848
Urology in Daytona Beach, FL

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1925 S ATLANTIC AVE, SUITE #609, DAYTONA BEACH, FL 32118(386) 747-4240 Get Directions Write a Review

NPPES record last updated: May 17, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Sean Tirney Md NPPES

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

DR. SEAN TIRNEY MD (NPI 1063484848) is an individual urology provider in Daytona Beach, Florida, licensed in Florida (ME83528) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1994).

NPPES Registry Identity

NPI1063484848
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SEAN TIRNEYCredential: MD
Location Address1925 S ATLANTIC AVE, SUITE #609Daytona Beach, FL 32118-5026
Mailing Address1925 S Atlantic Ave, Suite #609Daytona Beach, FL 32118-5026 · (386) 747-4240
Phone(386) 747-4240
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1994
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMay 17, 2014
✔ NPI 1063484848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME83528
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1925 S ATLANTIC AVE, Daytona Beach, FL 32118
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Other Names 1

Other Name (5)Sean Peter Tirney Md

Other Identifiers 4

Medicare UPINH15355
Medicaid262724800FL
Medicare NSC0471260001FL
Medicare PIN05147ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Tirney Md 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 ID8325070949
PECOS Enrollment IDI20210824000127
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
308 services207 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services57 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
49 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
24 services23 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32118 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers13 claims1,620 services$1.75 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,560 services$5.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tirney's NPI number?

The NPI number for Sean Tirney is 1063484848. It was assigned to this individual provider in the NPPES registry on February 6, 2006. The provider is also known as Sean Peter Tirney MD.

Where is Sean Tirney located?

Sean Tirney practices at 1925 S Atlantic Ave Suite #609, Daytona Beach, FL 32118. The listed phone number is (386) 747-4240.

What is Sean Tirney's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sean Tirney enrolled in Medicare?

Yes. Sean Tirney 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.

What insurance does Sean Tirney accept?

Health plans from UnitedHealthcare list Sean Tirney 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 Tirney affiliated with any hospitals?

According to CMS data, Sean Tirney is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Sean Tirney was last updated on May 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.