SEAN M DONAHOE M.D.
NPI 1790722304
Internal Medicine - Cardiovascular Disease in Riverhead, NY

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
14.02/100
CMS Quality Rating
951 ROANOKE AVE, RIVERHEAD, NY 11901(631) 727-7773(631) 727-7832 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sean M Donahoe M.d. NPPES

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

SEAN M DONAHOE M.D. (NPI 1790722304) is an individual cardiovascular disease provider in Riverhead, New York, licensed in New York (240329) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of New York University School Of Medicine (2003).

NPPES Registry Identity

NPI1790722304
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSEAN M DONAHOECredential: M.D.
Location Address951 ROANOKE AVERiverhead, NY 11901-2724
Mailing Address951 Roanoke AveRiverhead, NY 11901-2724 · (631) 369-5005 · Fax (631) 369-4994
Fax(631) 727-7832
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2003
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 10, 2017
✔ NPI 1790722304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 240329
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 224079 (MA)
951 ROANOKE AVE, Riverhead, NY 11901

Other Identifiers 2

Medicare PINA400014044NY
Medicaid03114550NY

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

Sean M Donahoe 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 ID4880748557
PECOS Enrollment IDI20090814000002
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 Reassignments

2

Medicare enrollment records show Sean Donahoe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
951 ROANOKE AVE
Riverhead, NY 11901
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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 26

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, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
9,372 services25 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.
2,133 services1,033 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
862 services747 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
579 services479 patients
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242
This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
194 services182 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
187 services175 patients

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

14.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost46.74

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.

Internal Medicine (Cardiovascular Disease)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Family)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine (Interventional Cardiology)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Physician Assistant (Medical)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Physician Assistant
951 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
951 ROANOKE AVE
RIVERHEAD, NY 11901

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 Donahoe's NPI number?

The NPI number for Sean Donahoe is 1790722304. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Sean Donahoe located?

Sean Donahoe practices at 951 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 727-7773.

What is Sean Donahoe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sean Donahoe enrolled in Medicare?

Yes. Sean Donahoe 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 organizations bill Medicare for Sean Donahoe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Donahoe reassigns Medicare benefits to 2 organizations: Peconic Cardiology, PC (Riverhead, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each 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 Donahoe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Donahoe affiliated with any hospitals?

According to CMS data, Sean Donahoe is affiliated with Ns/Lij Hs Southside Hospital, Peconic Bay Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Sean Donahoe was last updated on March 10, 2017. 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.