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SEAN B HALLIGAN MD
NPI 1306804190
Family Medicine in Staten Island, NY

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
145 FOREST AVE, STATEN ISLAND, NY 10301(585) 469-4880(585) 336-4845 Get Directions Write a Review

NPPES record last updated: May 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sean B Halligan Md NPPES

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

SEAN B HALLIGAN MD (NPI 1306804190) is an individual family medicine provider in Staten Island, New York, licensed in New York (209013) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1992).

NPPES Registry Identity

NPI1306804190
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN B HALLIGANCredential: MD
Location Address145 FOREST AVEStaten Island, NY 10301-2715
Mailing Address145 Forest AveStaten Island, NY 10301-2715 · (585) 469-4880 · Fax (585) 336-4845
Phone(585) 469-4880
Fax(585) 336-4845
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1992
Enumeration DateMay 2, 2006
Last NPPES UpdateMay 4, 2019
✔ NPI 1306804190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 209013
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.
145 FOREST AVE, Staten Island, NY 10301
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Other Identifiers 1

Medicaid00355266NY

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 B Halligan Md 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 ID3274568514
PECOS Enrollment IDI20051005000602
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

5

Medicare enrollment records show Sean Halligan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Medical Of Upper East Side, PLLC
1.2 mi
Urgent Care
812 FOREST AVE
Staten Island, NY 10310
  • Reassigned Medicare billing, New York enrollment
  • 596 clinicians in this Medicare group
NPI 1588208805 (718) 571-9196
Newark Wayne Community Hospital
228 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022
Rochester General Hospital
237 mi
Internal Medicine
6692 MIDDLE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1821163718 (315) 483-9135
Skilled Facility Health Care Solutions Inc
2,457 mi
Surgery
5455 S CENTINELA AVE
Los Angeles, CA 90066
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1104018423 (310) 445-5999
Skilled Biologics, Inc.
2,501 mi
Surgery
2108 N ST, NUM 7934
Sacramento, CA 95816
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1376386763 (310) 445-5999

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 11

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 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.
203 services193 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
71 services71 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.
60 services36 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.
41 services41 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services29 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

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 Halligan's NPI number?

The NPI number for Sean Halligan is 1306804190. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Sean Halligan located?

Sean Halligan practices at 145 Forest Ave, Staten Island, NY 10301. The listed phone number is (585) 469-4880.

What is Sean Halligan's specialty?

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

Is Sean Halligan enrolled in Medicare?

Yes. Sean Halligan 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 Halligan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Halligan reassigns Medicare benefits to 5 organizations: City Medical Of Upper East Side, PLLC (Staten Island, NY), Newark Wayne Community Hospital (Newark, NY), Rochester General Hospital (Sodus, NY), Skilled Facility Health Care Solutions Inc (Los Angeles, CA) and Skilled Biologics, Inc. (Sacramento, CA). 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 Halligan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sean Halligan was last updated on May 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.