SEAN FULLERTON M.D.
NPI 1124205398
Urology in Hawthorne, NY

Q: What is Sean Fullerton's NPI number?

The NPI number for Sean Fullerton is 1124205398. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Q: What is Sean Fullerton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Fullerton was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 29, 2008PECOS EnrolledAccepts Medicare Assignment

19 BRADHURST AVE STE 1900S, HAWTHORNE, NY 10532(914) 347-1900(914) 347-1957 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2021, Feb 19, 2021 (2 updates tracked since 2021).

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About Sean Fullerton M.d. NPPES

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

SEAN FULLERTON M.D. (NPI 1124205398) is an individual urology provider in Hawthorne, New York, licensed in New York (247439) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Metropolitan Hospital Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124205398

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameSEAN FULLERTONCredential: M.D.

Location Address19 BRADHURST AVE STE 1900SHawthorne, NY 10532-2140

Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028

Phone(914) 347-1900

Fax(914) 347-1957

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJanuary 29, 2008

Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration

NPPES CertifiedJuly 13, 2021

✔ NPI 1124205398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NY · 247439

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.

19 BRADHURST AVE STE 1900S, Hawthorne, NY 10532

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Secondary Practice Locations 3

Location 1701 N BroadwaySleepy Hollow, NY 10591-1020 · Phone (914) 347-1900

Location 2100 Woods RdValhalla, NY 10595-1530 · Phone (914) 347-1900

Location 3241 North RdPoughkeepsie, NY 12601-1154 · Phone (914) 347-1900

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 Fullerton 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 ID1355417031

PECOS Enrollment IDI20080903000406

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 6

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 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.

123 services84 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.

26 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services13 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

19 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

18 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Metropolitan Hospital Center

Acute Care Hospitals · New York, NY

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330199

Location1901 First AvenueNew York, NY 10029 · New York County

Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330234

Location100 Woods RdValhalla, NY 10595 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10532 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

1 supplier12 claims2,160 services$1.41 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 6

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

DENTON BERNARD ALLMAN M.D.

Urology