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SEAN M HANLON MD
NPI 1124474689
Pediatrics - Pediatric Emergency Medicine in Morgantown, WV

Active since May 13, 2016PECOS Enrolled
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(304) 293-1224 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2023, Jun 23, 2020, May 13, 2016 (3 updates tracked since 2016).

About Sean M Hanlon Md NPPES

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

SEAN M HANLON MD (NPI 1124474689) is an individual pediatric emergency medicine provider in Morgantown, West Virginia, licensed in West Virginia (28320) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124474689
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameSEAN M HANLONCredential: MD
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506
Mailing Address250 N Shadeland Ave Ste 200Indianapolis, IN 46219-4959
Phone(304) 293-1224
Sole ProprietorNo
Enumeration DateMay 13, 2016
Last NPPES UpdateJune 5, 20233 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1124474689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in WV · 28320
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 01084080A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 MEDICAL CENTER DR, Morgantown, WV 26506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean M Hanlon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sean Hanlon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Virginia University Medical Corporation
Same address
Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1275504508 (304) 598-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$916.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$116.22 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 20

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

MIKE LEE MD, MS, BS
Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4051
ERIC ALLEN
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
ISLAM YOUNES
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
TERESA SOLIMANDO FNP-C
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-1111
RODRIGO GABRIEL BEJARANO CASTRO MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-6127
MOLLIE SIMONTON
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
CHEYENNE BARR FNP-BC
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
MARLEAH SCHLICK
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4148

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 Hanlon's NPI number?

The NPI number for Sean Hanlon is 1124474689. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Sean Hanlon located?

Sean Hanlon practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (304) 293-1224.

What is Sean Hanlon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Sean Hanlon enrolled in Medicare?

Yes. Sean Hanlon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sean Hanlon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Hanlon reassigns Medicare benefits to West Virginia University Medical Corporation (Morgantown, WV). The 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 Hanlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Hanlon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Sean Hanlon 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.

When was this NPI record last updated?

The NPPES record for Sean Hanlon was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.