SEAN MCCAFFERTY MD PC
NPI 1609857812
Ophthalmology in Tucson, AZ

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
88.48/100
CMS Quality Rating
6422 E SPEEDWAY BLVD STE 100, TUCSON, AZ 85710(520) 327-3487(520) 327-3488 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sean Mccafferty Md Pc NPPES

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

SEAN MCCAFFERTY MD PC (NPI 1609857812) is an individual ophthalmology provider in Tucson, Arizona, licensed in Arizona (25384) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1996).

NPPES Registry Identity

NPI1609857812
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSEAN MCCAFFERTYCredential: MD PC
Location Address6422 E SPEEDWAY BLVD STE 100Tucson, AZ 85710-1151
Mailing Address6422 E Speedway Blvd Ste 100Tucson, AZ 85710-1151 · (520) 327-3487 · Fax (520) 327-3488
Fax(520) 327-3488
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1996
Enumeration DateNovember 7, 2005
Last NPPES UpdateAugust 31, 2015
NPI 1609857812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AZ · 25384
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
6422 E SPEEDWAY BLVD STE 100, Tucson, AZ 85710

Other Identifiers 3

Medicare UPING53966
Medicare ID-Type UnspecifiedZ81282AZ
Medicaid391417AZ

Accepted 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 Mccafferty Md Pc 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 ID9638157027
PECOS Enrollment IDI20040712001087
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 20

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.
1,020 services743 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
283 services276 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
250 services242 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
185 services176 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.
153 services153 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
123 services120 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85710 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

88.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.53
Promoting Interoperability91
Improvement Activities40
Cost80.57

Other Providers at the Same Location NPPES 9

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

Ophthalmology
6422 E SPEEDWAY BLVD STE 100
TUCSON, AZ 85710
Ophthalmology
6422 E SPEEDWAY BLVD STE 100
TUCSON, AZ 85710
Ophthalmology
6422 E SPEEDWAY BLVD STE 100
TUCSON, AZ 85710
Optometrist
6422 E SPEEDWAY BLVD STE 100
TUCSON, AZ 85710
Ophthalmology
6422 E SPEEDWAY BLVD STE 100
TUCSON, AZ 85710
Ophthalmology (Neuro-ophthalmology)
6422 E SPEEDWAY BLVD STE 100
TUCSON, AZ 85710
Ophthalmology
6422 E SPEEDWAY BLVD STE 100
TUCSON, AZ 85710
Ophthalmology (Cornea and External Diseases Specialist)
6422 E SPEEDWAY BLVD STE 100
TUCSON, AZ 85710

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 Mccafferty's NPI number?

The NPI number for Sean Mccafferty is 1609857812. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Sean Mccafferty located?

Sean Mccafferty practices at 6422 E Speedway Blvd Ste 100, Tucson, AZ 85710. The listed phone number is (520) 327-3487.

What is Sean Mccafferty's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sean Mccafferty enrolled in Medicare?

Yes. Sean Mccafferty 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 Mccafferty accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Sean Mccafferty 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 Mccafferty was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.