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SEAN FOLEY
NPI 1225769565
Physician Assistant in Milford, MA

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
215 WEST ST, MILFORD, MA 01757(508) 478-6363 Get Directions Write a Review

NPPES record last updated: January 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sean Foley NPPES

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

SEAN FOLEY (NPI 1225769565) is an individual physician assistant in Milford, Massachusetts and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225769565
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN FOLEY
Location Address215 WEST STMilford, MA 01757-2277
Mailing Address215 West StMilford, MA 01757-2277 · (508) 478-6363
Phone(508) 478-6363
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateJanuary 8, 2023
NPPES CertifiedJanuary 8, 2023
✔ NPI 1225769565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
215 WEST ST, Milford, MA 01757
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Sean Foley 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 ID4789025651
PECOS Enrollment IDI20240509000265
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 4

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.
36 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01757 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

MOLLY SULLIVAN BERRY MA
Social Worker
215 WEST ST
MILFORD, MA 01757
Worcester County (508) 902-0080
DR. AJAY K BATRA MD
Internal Medicine (Gastroenterology)
215 WEST ST
MILFORD, MA 01757
Worcester County (508) 478-6363
NICOLE ELIZABETH-ANNE PAOLO
Physician Assistant
215 WEST ST
MILFORD, MA 01757
Worcester County (508) 478-0055
MRS. MARIA VERONICA VIVAS M.SCCC-A
Audiologist
215 WEST ST
MILFORD, MA 01757
Worcester County (508) 478-0723
DR. PARHAM SAFAIE SEMNANI MD
Internal Medicine (Gastroenterology)
215 WEST ST
MILFORD, MA 01757
Worcester County (508) 478-6363
KATHERINE KELLEY
Nurse Practitioner (Family)
215 WEST ST
MILFORD, MA 01757
Worcester County (508) 478-6363
ERICA J SUAZO CNP
Nurse Practitioner (Adult Health)
215 WEST ST
MILFORD, MA 01757
Worcester County (508) 478-6363
STEPHEN RICHARD ROTMAN M.D.
Student in an Organized Health Care Education/Training Program
215 WEST ST
MILFORD, MA 01757
Worcester County (508) 478-6363

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 Foley's NPI number?

The NPI number for Sean Foley is 1225769565. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Sean Foley located?

Sean Foley practices at 215 West St, Milford, MA 01757. The listed phone number is (508) 478-6363.

What is Sean Foley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sean Foley enrolled in Medicare?

Yes. Sean Foley 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.

What insurance does Sean Foley accept?

Health plans from Anthem Blue Cross and Blue Shield list Sean Foley 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 Foley was last updated on January 8, 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.