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DR. SEAN ROBERT SCANLON MD
NPI 1972062800
Surgery in Wheeling, WV

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
20 MEDICAL PARK STE 102, WHEELING, WV 26003(304) 243-6530 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2023, Mar 19, 2019 (2 updates tracked since 2019).

About Dr. Sean Robert Scanlon Md NPPES

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

DR. SEAN ROBERT SCANLON MD (NPI 1972062800) is an individual surgery provider in Wheeling, West Virginia, licensed in West Virginia (36236) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Florida Atlantic University, College Of Medicine (2019).

NPPES Registry Identity

NPI1972062800
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SEAN ROBERT SCANLONCredential: MD
Location Address20 MEDICAL PARK STE 102Wheeling, WV 26003-6390
Mailing Address20 Medical Park Ste 102Wheeling, WV 26003-6390 · (304) 243-6530
Phone(304) 243-6530
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1972062800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WV · 36236
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
20 MEDICAL PARK STE 102, Wheeling, WV 26003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Robert Scanlon 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 ID1759827132
PECOS Enrollment IDI20260218002579
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

4

Medicare enrollment records show Sean Scanlon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wheeling Hospital Inc
0.8 mi
Family Medicine
1 MEDICAL PARK
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 502 clinicians in this Medicare group
NPI 1548923923 (304) 243-3000
Reynolds Memorial Hospital Inc
2.5 mi
Surgery
109 MOUNT WOOD RD
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 275 clinicians in this Medicare group
NPI 1457657991 (304) 233-2455
Kaleida Health
218 mi
General Acute Care Hospital
100 HIGH ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1366473183 (716) 859-1993
University At Buffalo Surgeons Inc
220 mi
Surgery
462 GRIDER ST, DK MILLER BLDG
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 59 clinicians in this Medicare group
NPI 1508898305 (716) 898-5186

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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 INC.
Specialist
20 MEDICAL PARK STE 102
WHEELING, WV 26003
Ohio County (304) 242-6373

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 Scanlon's NPI number?

The NPI number for Sean Scanlon is 1972062800. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Sean Scanlon located?

Sean Scanlon practices at 20 Medical Park Ste 102, Wheeling, WV 26003. The listed phone number is (304) 243-6530.

What is Sean Scanlon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sean Scanlon enrolled in Medicare?

Yes. Sean Scanlon 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 Scanlon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Scanlon reassigns Medicare benefits to 4 organizations: Wheeling Hospital Inc (Wheeling, WV), Reynolds Memorial Hospital Inc (Wheeling, WV), Kaleida Health (Buffalo, NY) and University At Buffalo Surgeons Inc (Buffalo, 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 Scanlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Scanlon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Sean Scanlon 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 Scanlon affiliated with any hospitals?

According to CMS data, Sean Scanlon is affiliated with Reynolds Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sean Scanlon was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.