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SEAN PATRICK CALLAHAN M.D.
NPI 1194811828
Family Medicine in Oak Harbor, OH

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
72.51/100
CMS Quality Rating
11697 W STATE ROUTE 163, OAK HARBOR, OH 43449(419) 898-0993(419) 898-2444 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Patrick Callahan M.d. NPPES

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

SEAN PATRICK CALLAHAN M.D. (NPI 1194811828) is an individual family medicine provider in Oak Harbor, Ohio, licensed in Ohio (35-07-4846) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of University Of Toledo College Of Medicine (1995).

NPPES Registry Identity

NPI1194811828
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN PATRICK CALLAHANCredential: M.D.
Location Address11697 W STATE ROUTE 163Oak Harbor, OH 43449
Mailing Address11697 W State Route 163Oak Harbor, OH 43449 · (419) 898-0993 · Fax (419) 898-2444
Phone(419) 898-0993
Fax(419) 898-2444
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1995
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1194811828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-07-4846
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.
11697 W STATE ROUTE 163, Oak Harbor, OH 43449
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Other Identifiers 2

Medicaid2084784OH
Other174384OH · Anthem Bcbs Of Ohio

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Paramount.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 Callahan 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 ID5597765909
PECOS Enrollment IDI20070109000498
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 Callahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Magruder Medical Group Ltd
12 mi
Family Medicine
611 FULTON ST STE E
Port Clinton, OH 43452
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
NPI 1871015578 (419) 734-4539

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 14

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.
550 services156 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.
114 services64 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
96 services41 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
66 services41 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
65 services36 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
63 services57 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43449 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

72.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.33
Promoting Interoperability89
Improvement Activities40
Cost55.2

Referred Medical Equipment & Supplies CMS DME claims 9

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
4 suppliers21 claims59 services$5.93 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier11 claims11 services$31.96 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$1.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers12 claims12 services$11.77 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers19 claims19 services$4.57 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
6 suppliers35 claims35 services$60.01 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

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

CHAD MICHAEL BLUNT M.D.
Family Medicine
11697 W STATE ROUTE 163
OAK HARBOR, OH 43449
Ottawa County (419) 898-0993

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 Callahan's NPI number?

The NPI number for Sean Callahan is 1194811828. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Sean Callahan located?

Sean Callahan practices at 11697 W State Route 163, Oak Harbor, OH 43449. The listed phone number is (419) 898-0993.

What is Sean Callahan's specialty?

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

Is Sean Callahan enrolled in Medicare?

Yes. Sean Callahan 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 organization bills Medicare for Sean Callahan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Callahan reassigns Medicare benefits to Magruder Medical Group Ltd (Port Clinton, OH). 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 Callahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Callahan accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Paramount list Sean Callahan 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 Callahan affiliated with any hospitals?

According to CMS data, Sean Callahan is affiliated with Mercy St Vincent Medical Center, Bay Park Community Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Sean Callahan was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.