J. SEAN BEGLEY MD
NPI 1093887747
Obstetrics & Gynecology in West Covina, CA

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1433 MERCED AVE, SUITE 103, WEST COVINA, CA 91790(626) 337-8000(626) 337-1145 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About J. Sean Begley Md NPPES

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

J. SEAN BEGLEY MD (NPI 1093887747) is an individual obstetrics & gynecology provider in West Covina, California, licensed in California (A70931) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1998).

NPPES Registry Identity

NPI1093887747
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJ. SEAN BEGLEYCredential: MD
Location Address1433 MERCED AVE, SUITE 103West Covina, CA 91790
Mailing Address1433 Merced Ave, Suite 103West Covina, CA 91790 · (626) 337-8000 · Fax (626) 337-1145
Fax(626) 337-1145
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1998
Enumeration DateNovember 15, 2006
Last NPPES UpdateSeptember 10, 2013
✔ NPI 1093887747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A70931
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1433 MERCED AVE, West Covina, CA 91790

Other Names 1

Other Name (5)Jason Sean Begley Md

Other Identifiers 1

Medicare ID-Type Unspecified00A709310

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

J. Sean Begley 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 ID7315969227
PECOS Enrollment IDI20070209000596
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.

Medicare Billing Reassignments

2

Medicare enrollment records show J. Sean Begley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1135 S SUNSET AVE STE 401
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
General Practice
210 W SAN BERNARDINO RD
Covina, CA 91723
  • Reassigned Medicare billing, California enrollment
  • 70 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.46
Promoting Interoperability90
Improvement Activities40
Cost50.22

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 J. Sean Begley's NPI number?

The NPI number for J. Sean Begley is 1093887747. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Jason Sean Begley MD.

Where is J. Sean Begley located?

J. Sean Begley practices at 1433 Merced Ave Suite 103, West Covina, CA 91790. The listed phone number is (626) 337-8000.

What is J. Sean Begley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is J. Sean Begley enrolled in Medicare?

Yes. J. Sean Begley 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 J. Sean Begley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J. Sean Begley reassigns Medicare benefits to 2 organizations: Emanate Health Medical Care Foundation (West Covina, CA) and Emanate Health Medical Group (Covina, CA). 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 J. Sean Begley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for J. Sean Begley was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.