SEAN HERMAN M.D.
NPI 1629041207
Radiology - Diagnostic Radiology in New York, NY

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
17.49/100
CMS Quality Rating
519 E 72ND ST, SUITE 103, NEW YORK, NY 10021(212) 288-1575(212) 288-7616 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sean Herman M.d. NPPES

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

SEAN HERMAN M.D. (NPI 1629041207) is an individual diagnostic radiology provider in New York, New York, licensed in New York (236090-1) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1999).

NPPES Registry Identity

NPI1629041207
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSEAN HERMANCredential: M.D.
Location Address519 E 72ND ST, SUITE 103New York, NY 10021-4028
Mailing Address519 E 72nd St, Suite 103New York, NY 10021-4028 · (212) 288-1575 · Fax (212) 288-7616
Fax(212) 288-7616
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1999
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 30, 2016
NPI 1629041207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 236090-1
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
519 E 72ND ST, New York, NY 10021

Other Identifiers 1

Medicare UPINI09206NY

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 Herman 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 ID8426035031
PECOS Enrollment IDI20051013000433
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 34

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
34,312 services212 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,551 services45 patients
Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
246 services240 patients
Mri scan of pelvis before and after contrast 72197
An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
205 services203 patients
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552
Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.
97 services93 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
95 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

17.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality34.98
Improvement Activities0

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
77%299 patients
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 20

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

Orthopaedic Surgery (Sports Medicine)
519 E 72ND ST
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
519 E 72ND ST, SUITE 103
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
519 E 72ND ST, SUITE #103
NEW YORK, NY 10021
Specialist
519 E 72ND ST, SUITE 103
NEW YORK, NY 10021
Radiology (Diagnostic Ultrasound)
519 E 72ND ST, SUITE 103
NEW YORK, NY 10021
Specialist
519 E 72ND ST, STE 103
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
519 E 72ND ST, STE 103
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
519 E 72ND ST, STE. 103
NEW YORK, NY 10021

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 Herman's NPI number?

The NPI number for Sean Herman is 1629041207. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Sean Herman located?

Sean Herman practices at 519 E 72nd St Suite 103, New York, NY 10021. The listed phone number is (212) 288-1575.

What is Sean Herman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sean Herman enrolled in Medicare?

Yes. Sean Herman 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 Herman was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.