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DR. SEAN PATRICK WHELAN M.D.
NPI 1639335581
Colon & Rectal Surgery in Pittsburgh, PA

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
100 DELAFIELD RD STE 113, PITTSBURGH, PA 15215(412) 784-5540(412) 782-4565 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2022, Jun 30, 2016 (2 updates tracked since 2016).

About Dr. Sean Patrick Whelan M.d. NPPES

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

DR. SEAN PATRICK WHELAN M.D. (NPI 1639335581) is an individual colon & rectal surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD442462) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Medical University Of South Carolina College Of Medicine (2008).

NPPES Registry Identity

NPI1639335581
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. SEAN PATRICK WHELANCredential: M.D.
Location Address100 DELAFIELD RD STE 113Pittsburgh, PA 15215-3247
Mailing Address100 Delafield Rd Ste 113Pittsburgh, PA 15215-3247 · (412) 784-5540 · Fax (412) 782-4565
Phone(412) 784-5540
Fax(412) 782-4565
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2008
Enumeration DateJuly 31, 2008
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1639335581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in PA · MD442462
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License MD442462 (PA)
100 DELAFIELD RD STE 113, Pittsburgh, PA 15215
Open in Google Maps ↗

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 Patrick Whelan 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 ID7618278854
PECOS Enrollment IDI20151214001031
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 4

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.

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.
18 services18 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services13 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15215 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

ANNA MAGNOTTA
Surgery
100 DELAFIELD RD STE 113, SUITE 113
PITTSBURGH, PA 15215
Allegheny County (412) 784-1900
MOSTAFA HUSSEIN RAMADAN M.D.
Surgery
100 DELAFIELD RD STE 113
PITTSBURGH, PA 15215
Allegheny County (412) 782-2400
ANTHONY ROGER CYR MD PHD
Surgery
100 DELAFIELD RD STE 113
PITTSBURGH, PA 15215
Allegheny County (412) 782-2400

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 Whelan's NPI number?

The NPI number for Sean Whelan is 1639335581. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Sean Whelan located?

Sean Whelan practices at 100 Delafield Rd Ste 113, Pittsburgh, PA 15215. The listed phone number is (412) 784-5540.

What is Sean Whelan's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Sean Whelan enrolled in Medicare?

Yes. Sean Whelan 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.

Is Sean Whelan affiliated with any hospitals?

According to CMS data, Sean Whelan is affiliated with Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Sean Whelan was last updated on December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.