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SEAN PATRICK RONAYNE M.D.
NPI 1184730079
Family Medicine in Hartford, WI

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
1640 E SUMNER ST, HARTFORD, WI 53027(262) 670-4000 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Patrick Ronayne M.d. NPPES

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

SEAN PATRICK RONAYNE M.D. (NPI 1184730079) is an individual family medicine provider in Hartford, Wisconsin, licensed in Wisconsin (42658,22768) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains a secondary practice location in Brown Deer.

NPPES Registry Identity

NPI1184730079
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN PATRICK RONAYNECredential: M.D.
Location Address1640 E SUMNER STHartford, WI 53027-2684
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 670-4000
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1999
Enumeration DateAugust 22, 2006
Last NPPES UpdateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1184730079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 42658,22768
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1640 E SUMNER ST, Hartford, WI 53027
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Secondary Practice Location 1

Location 19252 N Green Bay RdBrown Deer, WI 53209-1104 · Phone (414) 527-7500 · Fax (414) 365-6320

Other Identifiers 1

Medicaid34066600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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 Patrick Ronayne 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 ID648217273
PECOS Enrollment IDI20050414000578
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

4

Medicare enrollment records show Sean Ronayne reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Advanced Healthcare, Inc.
23 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Ascension Medical Group-Southeast Wisconsin Inc
27 mi
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1609881077 (414) 465-3000
Aurora Medical Group, Inc.
27 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Lakeshore Medical Clinic, LLC
34 mi
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1003861188 (414) 744-6589

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 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.
216 services99 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 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.
34 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53027 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers22 claims101 services$5.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims24 services$1.16 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims2,243 services$0.02 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.

SARA C POUPORE NP
Nurse Practitioner
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
DANIELLE M MBIDA RN
Registered Nurse
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
MICHAEL J LONG M.D.
Family Medicine
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
KAYLA CHAPMAN
Surgery
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
RACHEL ELIZABETH BURTKA CCC-SLP
Speech-Language Pathologist
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
BRITTA BRADEN PA
Physician Assistant
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
BRUCE EDWARD HICKMAN MD
Family Medicine
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
SHELBY L HELMEID O.D.
Optometrist
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000

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 Ronayne's NPI number?

The NPI number for Sean Ronayne is 1184730079. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Sean Ronayne located?

Sean Ronayne practices at 1640 E Sumner St, Hartford, WI 53027. The listed phone number is (262) 670-4000.

What is Sean Ronayne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sean Ronayne enrolled in Medicare?

Yes. Sean Ronayne 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 Ronayne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Ronayne reassigns Medicare benefits to 4 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI), Aurora Medical Group, Inc. (West Allis, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, WI). 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 Ronayne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Ronayne accept?

Health plans from CareSource (Common Ground Healthcare) list Sean Ronayne 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.

Is Sean Ronayne affiliated with any hospitals?

According to CMS data, Sean Ronayne is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital and Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Sean Ronayne was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.