RANDOLPH J SEALEY MD
NPI 1780712463
Orthopaedic Surgery in Danbury, CT

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
44.8/100
CMS Quality Rating
2 RIVERVIEW DR, DANBURY, CT 06810(203) 797-1500(203) 730-9491 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Randolph J Sealey Md NPPES

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

RANDOLPH J SEALEY MD (NPI 1780712463) is an individual orthopaedic surgery provider in Danbury, Connecticut, licensed in Connecticut (044923) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1780712463
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRANDOLPH J SEALEYCredential: MD
Location Address2 RIVERVIEW DRDanbury, CT 06810-6268
Mailing Address2 Riverview DrDanbury, CT 06810-6268 · (203) 797-1500 · Fax (203) 730-9491
Fax(203) 730-9491
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
NPI 1780712463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CT · 044923
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 044923 (CT)
2 RIVERVIEW DR, Danbury, CT 06810

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

Randolph J Sealey Md 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 ID8820182942
PECOS Enrollment IDI20070920000440
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 16

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, 20-29 minutes 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.
293 services234 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
218 services162 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
85 services77 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
66 services41 patients
X-ray of ankle, 2 views 73600
An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.
65 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

44.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality25.82
Promoting Interoperability52
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
90%2,825 patients4/55-star benchmark: 100%
e-Prescribing
100%440 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%669 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%2,179 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 64% · 1,439 patients
Patients screened: 67% · 1,439 patients
15%53 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
13%48 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 710 patients
Patients totalRate: 2% · 710 patients
2%710 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
2 suppliers16 claims17 services$71.80 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
3 suppliers30 claims30 services$275.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
2 RIVERVIEW DR
DANBURY, CT 06810
Radiology (Diagnostic Radiology)
2 RIVERVIEW DR
DANBURY, CT 06810
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810

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 Randolph Sealey's NPI number?

The NPI number for Randolph Sealey is 1780712463. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Randolph Sealey located?

Randolph Sealey practices at 2 Riverview Dr, Danbury, CT 06810. The listed phone number is (203) 797-1500.

What is Randolph Sealey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Randolph Sealey enrolled in Medicare?

Yes. Randolph Sealey 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 Randolph Sealey was last updated on August 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.