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DR. SEAN ANDREW COLSEN DPM
NPI 1215019435
Podiatrist in Pawcatuck, CT

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
59.9/100
CMS Quality Rating
16 LINCOLN AVE, PAWCATUCK, CT 06379(860) 564-8671(860) 564-8672 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2019, Dec 12, 2017 (2 updates tracked since 2017).

About Dr. Sean Andrew Colsen Dpm NPPES

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

DR. SEAN ANDREW COLSEN DPM (NPI 1215019435) is an individual podiatrist in Pawcatuck, Connecticut, licensed in Connecticut (000733) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1215019435
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. SEAN ANDREW COLSENCredential: DPM
Location Address16 LINCOLN AVEPawcatuck, CT 06379-1856
Mailing Address40 Railroad AvePlainfield, CT 06374-1217 · (860) 564-8671 · Fax (860) 564-8672
Phone(860) 564-8671
Fax(860) 564-8672
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1998
Enumeration DateOctober 19, 2006
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
✔ NPI 1215019435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CT · 000733
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
16 LINCOLN AVE, Pawcatuck, CT 06379
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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

Dr. Sean Andrew Colsen Dpm 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 ID5597767350
PECOS Enrollment IDI20070207000208
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 10

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.

Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
768 services212 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
759 services209 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.
485 services49 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.
116 services69 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
91 services19 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
28 services11 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06379 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

59.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality23.91
Promoting Interoperability88
Improvement Activities20
Cost60.75

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
93%58 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
0%521 patients1/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

ADVANCED CHIROPRACTIC WELLNESS CENTER, LLC
Chiropractor
16 LINCOLN AVE
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 514-5148
SOUTH COUNTY ARTIFICIAL LIMB CO., INC.
Prosthetic/Orthotic Supplier
16 LINCOLN AVE
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (401) 783-0063

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 Colsen's NPI number?

The NPI number for Sean Colsen is 1215019435. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Sean Colsen located?

Sean Colsen practices at 16 Lincoln Ave, Pawcatuck, CT 06379. The listed phone number is (860) 564-8671.

What is Sean Colsen's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Sean Colsen enrolled in Medicare?

Yes. Sean Colsen 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.

Is Sean Colsen affiliated with any hospitals?

According to CMS data, Sean Colsen is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Sean Colsen was last updated on October 30, 2019. 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.