DR. SEAN RICHARD SHIRLEY M.D.
NPI 1235459587
Internal Medicine - Pulmonary Disease in Tripler Army Medical Center, HI

Q: What is Sean Shirley's NPI number?

The NPI number for Sean Shirley is 1235459587. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Q: What is Sean Shirley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sean Shirley was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 09, 2010PECOS EnrolledAccepts Medicare Assignment

86.2/100

CMS Quality Rating

1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-6014(808) 433-5746 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2024, Aug 11, 2020, Mar 16, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Sean Richard Shirley M.d. NPPES

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

DR. SEAN RICHARD SHIRLEY M.D. (NPI 1235459587) is an individual pulmonary disease provider in Tripler Army Medical Center, Hawaii, licensed in Hawaii (MD-22829) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2010).

NPPES Registry Identity

NPI1235459587

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. SEAN RICHARD SHIRLEYCredential: M.D.

Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001

Mailing Address1 Jarrett White RdTripler Army Medical Center, HI 96859-5001

Phone(808) 433-6014

Fax(808) 433-5746

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2010

Enumeration DateJune 9, 2010

Last NPPES UpdateMay 16, 20244 updates tracked since enumeration

NPPES CertifiedMay 16, 2024

✔ NPI 1235459587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in HI · MD-22829

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

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Other Identifiers 1

OtherVAD000HI · Upin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Dr. Sean Richard Shirley 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 ID4981920782

PECOS Enrollment IDI20230613000946

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

29 services18 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.

86.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.28

Promoting Interoperability

100

Improvement Activities

Cost

73.72

Referred Medical Equipment & Supplies CMS DME claims 5

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 supplier50 claims50 services$16.59 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$912.06 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$4.65 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

3 suppliers71 claims71 services$84.06 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers25 claims25 services$32.50 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.

CORINNE REYES LCSW

Social Worker (Clinical)

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-8785

DANIEL HEILMANN DO

Pediatrics

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-6697

MR. ADRIAN SCOTT WORTHEN M.D.

Internal Medicine

1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (808) 433-4049

DR. JANE ELIZABETH MARSHALL OTD, OTR/L

Occupational Therapist

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (937) 231-3795

TINA WILSON DO

General Practice

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (210) 220-7961

MRS. LASHON SHEREMA WILLIAMS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-8601

DR. NICHOLAS PATRICK MAHER DO

General Practice

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (888) 683-2778

DR. KIMBERLY D DAVIS MD

Ophthalmology

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (808) 471-9998

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 Shirley's NPI number?

The NPI number for Sean Shirley is 1235459587. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Where is Sean Shirley located?

Sean Shirley practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-6014.

What is Sean Shirley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sean Shirley enrolled in Medicare?

Yes. Sean Shirley 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 Shirley accept?

Health plans from HMSA list Sean Shirley 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 Shirley affiliated with any hospitals?

According to CMS data, Sean Shirley is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Shirley was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.