DR. SEAN MCMILLAN DO
NPI 1689885816
Orthopaedic Surgery - Sports Medicine in Burlington, NJ

Active since May 28, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2103 BURLINGTON MOUNT HOLLY RD, BURLINGTON, NJ 08016(609) 747-9200(609) 747-1408 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 19, 2020, Sep 15, 2020 (2 updates tracked since 2020).

About Dr. Sean Mcmillan Do NPPES

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

DR. SEAN MCMILLAN DO (NPI 1689885816) is an individual sports medicine provider in Burlington, New Jersey, licensed in New Jersey (25MB08970000) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1689885816
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. SEAN MCMILLANCredential: DO
Location Address2103 BURLINGTON MOUNT HOLLY RDBurlington, NJ 08016-4157
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Fax(609) 747-1408
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2005
Enumeration DateMay 28, 2007
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1689885816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NJ · 25MB08970000
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2103 BURLINGTON MOUNT HOLLY RD, Burlington, NJ 08016

Accepted Insurance

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

Dr. Sean Mcmillan Do 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 ID42483935
PECOS Enrollment IDI20111110000101
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 Reassignment

Medicare enrollment records show Sean Mcmillan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
555 HIGH ST STE 16A
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group

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 13

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.
254 services174 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
83 services69 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.
59 services56 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.
58 services58 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
54 services31 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
42 services28 patients

Hospital Affiliations CMS Care Compare 4

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

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.

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

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
2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON, NJ 08016
Occupational Therapist (Hand)
2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON, NJ 08016
Occupational Therapist
2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON, NJ 08016
Physical Therapist
2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON, NJ 08016
Occupational Therapist (Hand)
2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON, NJ 08016
Clinic/Center (Occupational Medicine)
2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON, NJ 08016
Physician Assistant (Surgical)
2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON, NJ 08016
Orthopaedic Surgery
2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON, NJ 08016

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 Mcmillan's NPI number?

The NPI number for Sean Mcmillan is 1689885816. It was assigned to this individual provider in the NPPES registry on May 28, 2007.

Where is Sean Mcmillan located?

Sean Mcmillan practices at 2103 Burlington Mount Holly Rd, Burlington, NJ 08016. The listed phone number is (609) 747-9200.

What is Sean Mcmillan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Sean Mcmillan enrolled in Medicare?

Yes. Sean Mcmillan 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 organization bills Medicare for Sean Mcmillan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Mcmillan reassigns Medicare benefits to Virtua Medical Group, PA (Mount Holly, NJ). The 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 Mcmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Mcmillan accept?

Health plans from Ambetter Health and Oscar Health list Sean Mcmillan 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.

Is Sean Mcmillan affiliated with any hospitals?

According to CMS data, Sean Mcmillan is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Sean Mcmillan was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.