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DR. SEAN B MCGUINNESS DPM
NPI 1497740005
Podiatrist in West Islip, NY

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
212 HIGBIE LN, WEST ISLIP, NY 11795(631) 661-7400(631) 661-3958 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sean B Mcguinness Dpm NPPES

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

DR. SEAN B MCGUINNESS DPM (NPI 1497740005) is an individual podiatrist in West Islip, New York, licensed in New York (N005167) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1497740005
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. SEAN B MCGUINNESSCredential: DPM
Location Address212 HIGBIE LNWest Islip, NY 11795-2827
Mailing Address212 Higbie LnWest Islip, NY 11795-2827 · (631) 661-7400 · Fax (631) 661-3958
Phone(631) 661-7400
Fax(631) 661-3958
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1993
Enumeration DateSeptember 20, 2005
Last NPPES UpdateOctober 24, 2012
✔ NPI 1497740005 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 NY · N005167
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.
212 HIGBIE LN, West Islip, NY 11795
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Other Identifiers 19

OtherCS1042Oxford
OtherP2098270NY · Oxford
Other113261797NY · Magnacare Ins Co
Other20-5783751NY · United Healthcare
OtherPL8471NY · Blue Cross Blue Shield
Other113261797United Health Care
Other20-5783751NY · Magna Care
Other480020565Railroad Medicare
OtherP04563NY · Workers Compensation
OtherP05167Workers Compensation
OtherP7462Empire Blue Choice
Other113261797Cigna
Other480024842NY · Railroad Medicare
Other4C3351NY · Healthnet
Medicare UPINU56045
Other113261797Empire Plan (nys Employee
OtherP12581Blue Cross/blue Shield
Medicare PINP12581NY
Medicare PINP1258ZZRQ1NY

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 B Mcguinness 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 ID5991893885
PECOS Enrollment IDI20071115000359
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 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.
1,391 services504 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.
987 services357 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
758 services332 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.
235 services235 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
93 services79 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
85 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%244 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%1,711 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%63 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%297 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
97%244 patients5/55-star benchmark: 95%
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…
86%579 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%297 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
68%297 patients4/55-star benchmark: 79%
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 3

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

WEST ISLIP FOOT CARE CENTER
Podiatrist (Foot Surgery)
212 HIGBIE LN, SUITE 2
WEST ISLIP, NY 11795
Suffolk County (631) 661-7400
WEST ISLIP FOOT CARE PC
Podiatrist (Sports Medicine)
212 HIGBIE LN, SUITE #2
WEST ISLIP, NY 11795
Suffolk County (631) 661-7400
RALPH M TURRI DPM
Podiatrist (Foot & Ankle Surgery)
212 HIGBIE LN
WEST ISLIP, NY 11795
Suffolk County (631) 661-7400

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 Mcguinness's NPI number?

The NPI number for Sean Mcguinness is 1497740005. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Sean Mcguinness located?

Sean Mcguinness practices at 212 Higbie Ln, West Islip, NY 11795. The listed phone number is (631) 661-7400.

What is Sean Mcguinness's specialty?

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

Is Sean Mcguinness enrolled in Medicare?

Yes. Sean Mcguinness 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.

When was this NPI record last updated?

The NPPES record for Sean Mcguinness was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.