Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SEAN WYATT NEALY M.D.
NPI 1841559291
Family Medicine in Rochester, NY

Active since May 04, 2012PECOS Enrolled
95.19/100
CMS Quality Rating
65 GENESEE ST, ROCHESTER, NY 14611(585) 368-3031(585) 368-3037 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Jan 12, 2023, Jul 20, 2022 (3 updates tracked since 2022).

About Sean Wyatt Nealy M.d. NPPES

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

SEAN WYATT NEALY M.D. (NPI 1841559291) is an individual family medicine provider in Rochester, New York, licensed in New York (307950) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1841559291
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN WYATT NEALYCredential: M.D.
Location Address65 GENESEE STRochester, NY 14611-3201
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-5462 · Fax (585) 922-1011
Fax(585) 368-3037
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 4, 2012
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1841559291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 307950
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
65 GENESEE ST, Rochester, NY 14611

Secondary Practice Location 1

Location 11 Boston Medical Ctr PlBoston, MA 02118-2908 · Phone (973) 477-7505

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 Wyatt Nealy 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 ID5799917696
PECOS Enrollment IDI20220804000478
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.
72 services42 patients
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.
19 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14611 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Social Worker (Clinical)
65 GENESEE ST
ROCHESTER, NY 14611
Counselor (Mental Health)
65 GENESEE ST
ROCHESTER, NY 14611
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
65 GENESEE ST
ROCHESTER, NY 14611
Social Worker
65 GENESEE ST
ROCHESTER, NY 14611
Nurse Practitioner (Family)
65 GENESEE ST
ROCHESTER, NY 14611
Family Medicine
65 GENESEE ST
ROCHESTER, NY 14611
Emergency Medicine
65 GENESEE ST
ROCHESTER, NY 14611
Family Medicine
65 GENESEE ST
ROCHESTER, NY 14611

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 Nealy's NPI number?

The NPI number for Sean Nealy is 1841559291. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Sean Nealy located?

Sean Nealy practices at 65 Genesee St, Rochester, NY 14611. The listed phone number is (585) 368-3031.

What is Sean Nealy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sean Nealy enrolled in Medicare?

Yes. Sean Nealy 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 Nealy affiliated with any hospitals?

According to CMS data, Sean Nealy is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Sean Nealy was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.