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

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: October 25, 2026.

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

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 2241 North RdPoughkeepsie, NY 12601-1154 · Phone (914) 347-1900
Location 3100 Woods RdValhalla, NY 10595-1530 · Phone (914) 347-1900

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sean Fullerton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westchester Medical Center Advanced Physician Services PC
0.2 mi
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844
Physician Affiliate Group Of New York PC
20 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Metropolitan Medical Practice Plan PC
22 mi
General Practice
1901 1ST AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 623 clinicians in this Medicare group
NPI 1306138383 (212) 423-7337

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 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
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.
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
19 BRADHURST AVE STE 1900S
HAWTHORNE, NY 10532
Westchester County (914) 347-1900
MUHAMMAD CHOUDHURY MD
Urology
19 BRADHURST AVE STE 1900S
HAWTHORNE, NY 10532
Westchester County (914) 347-1958
DR. ANDREW KATIMS M.D., M.P.H
Urology
19 BRADHURST AVE STE 1900S
HAWTHORNE, NY 10532
Westchester County (914) 347-1900
DR. NATHAN COLIN WONG MD
Urology
19 BRADHURST AVE STE 1900S
HAWTHORNE, NY 10532
Westchester County (914) 347-1900
DANIEL C ROSEN M.D.
Urology
19 BRADHURST AVE STE 1900S
HAWTHORNE, NY 10532
Westchester County (914) 347-1900
GERALD MATTHEWS MD
Urology
19 BRADHURST AVE STE 1900S
HAWTHORNE, NY 10532
Westchester County (914) 347-1958

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 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.

Where is Sean Fullerton located?

Sean Fullerton practices at 19 Bradhurst Ave Ste 1900S, Hawthorne, NY 10532. The listed phone number is (914) 347-1900.

What is Sean Fullerton's specialty?

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

Is Sean Fullerton enrolled in Medicare?

Yes. Sean Fullerton 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 Fullerton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Fullerton reassigns Medicare benefits to 3 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), Physician Affiliate Group Of New York PC (New York, NY) and Metropolitan Medical Practice Plan PC (New York, NY). 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 Fullerton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Fullerton affiliated with any hospitals?

According to CMS data, Sean Fullerton is affiliated with Metropolitan Hospital Center and Westchester Medical Center.

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.