SEAN M MCDONOUGH PA
NPI 1700418175
Physician Assistant in Fairfax, VA

Active since February 04, 2020PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
8100 INNOVATION PARK DR # 110, FAIRFAX, VA 22031(703) 970-6464(571) 414-6941 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2021, Feb 4, 2020 (2 updates tracked since 2020).

About Sean M Mcdonough Pa NPPES

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

SEAN M MCDONOUGH PA (NPI 1700418175) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110007777) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Middle Village, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700418175
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN M MCDONOUGHCredential: PA
Location Address8100 INNOVATION PARK DR # 110Fairfax, VA 22031-4870
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Fax(571) 414-6941
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 4, 2020
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
NPI 1700418175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110007777
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8100 INNOVATION PARK DR # 110, Fairfax, VA 22031

Secondary Practice Location 1

Location 16916 61st DrMiddle Village, NY 11379-1112 · Phone (516) 445-5627

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 M Mcdonough Pa 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 ID1052729563
PECOS Enrollment IDI20210426001364
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 3

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.
29 services28 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.
16 services16 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery (Sports Medicine)
8100 INNOVATION PARK DR # 110
FAIRFAX, VA 22031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700418175, enumerated as an "individual" on February 04, 2020.

The provider is located at 8100 INNOVATION PARK DR # 110 FAIRFAX, VA 22031 and the phone number is (703) 970-6464.

Physician Assistant with taxonomy code 363A00000X.