SEAN DONAHUE MD, PHD
NPI 1083706402
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Nashville, TN

Q: What is Sean Donahue's NPI number?

The NPI number for Sean Donahue is 1083706402. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Q: What is Sean Donahue's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Q: When was this NPI record last updated?

The NPPES record for Sean Donahue was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 30, 2006PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 9, 2025, Oct 15, 2020, Mar 22, 2019 (3 updates tracked since 2019).

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About Sean Donahue Md, Phd NPPES

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

SEAN DONAHUE MD, PHD (NPI 1083706402) is an individual pediatric ophthalmology and strabismus specialist in Nashville, Tennessee, licensed in Tennessee (26701) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Hendersonville.

NPPES Registry Identity

NPI1083706402

Entity TypeIndividualMale

Primary Taxonomy207WX0110X

Provider Legal NameSEAN DONAHUECredential: MD, PHD

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-3000 · Fax (615) 322-5048

Phone(615) 322-3000

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1989

Enumeration DateSeptember 30, 2006

Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1083706402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0110X

License✔ Licensed in TN · 26701

Definition

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Also ListedOphthalmologyTaxonomy 207W00000X · License 26701 (TN)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Location 1

Location 1305 Indian Lake Blvd Ste 240Hendersonville, TN 37075-6383 · Phone (615) 322-5000

Other Identifiers 1

Medicaid3091982TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Sean Donahue Md, Phd 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 ID3476630021

PECOS Enrollment IDI20100511000419

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 10

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.

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

116 services92 patients

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.

48 services43 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.

40 services34 patients

Realignment of horizontal eye muscle 67311

Realignment of horizontal eye muscle is a surgical procedure to correct strabismus, a condition where your eyes don't align properly. The surgeon adjusts the muscles that control eye movement, improving coordination and focus. This helps to restore normal eye alignment and functioning.

39 services39 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.

28 services28 patients

Realignment of eye muscle following injury or eye surgery 67331

Realignment of eye muscles is a procedure performed to correct issues with eye movement or alignment, often due to injury or past surgery. It involves adjusting the muscles that control eye movement to improve coordination and focus, enhancing visual function.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

97.12/100

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

Scored through an Alternative Payment Model

Quality

85.64

Promoting Interoperability

100

Improvement Activities

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. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)