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2026 NPPES data Urology Physician NPI 1164588711 M.D.
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Sean Egan, M.D.

Urology Physician in West Orange, New Jersey.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 243 beneficiaries · Urology Physician avg: 1K
MIPS score
93.7/100
▲ 10 pts above national avg 83.5 · Exceptional
Industry payments
$402.13
15 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Sean Egan, M.D. reported a CMS MIPS final score of 93.7/100 - above the 83.5 national average - and filed 1,126 Medicare Part D claims in 2024.

93.7/100
MIPS score · +10 vs avg
1K
Part D claims, 2024
Likely
board-certified (heuristic)
≥69th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Sean Egan, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1164588711), first enumerated 12/28/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,126 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 93.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $402.13 in reported industry payments (15 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1164588711 · Urology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1164588711
  • ENUM-LEGACY 2006
  • TAX-MID 14K Urology Physician
  • MIPS-ELITE 93.7/100
  • RX-MID 1,126
  • BOOK-THIN 412 in New Jersey
  • PHOTO-FINISH Rahuldev Bhalla, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Sean Egan, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

94 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Sean Egan, M.D. sits

This provider among urology physician peers

Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sean Egan, M.D. writes more Part D claims than 46% of them and scores higher on MIPS quality than 65% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Sean Egan, M.D., Part D claim volume, percentile in specialty: 46 · MIPS quality, percentile: 65
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Sean Egan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Sean Egan, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Sean Egan, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 12/28/2006

NPI 1164588711

Primary specialty

Urology Physician

Mid-sized

13,606 US NPIs in this specialty

Medicare Part D claims

1,126 17% vs specialty avg

2024 prescription claims

Specialty avg: 1,354

MIPS final score

93.7/100 10.2 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in New Jersey

How Urology Physician compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor6.2%Physical Therapist5.8%Student in an Organized Heal…5.6%Clinical Social Worker5.5%Pharmacist5%Internal Medicine Physician3.1%Urology Physician0.2%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Sean Egan, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
93.7/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%93.7%
MIPS final score (Urology Physician) - 93.7/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

443 NORTHFIELD AVE
West Orange, NJ 07052
(973) 324-0103

Provider Details

NPI 1164588711
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 12/28/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.7128
Final Score
Measured-score avg: 83.5
77.7931
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Sean Egan, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Hudson MD Group
Fort Lee, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Sean Egan, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$402

Largest payer

COLOPLAST CORP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

1,126
Total Claims
$365K
Total Drug Cost
243
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,376.133
Total Day Supply
66,463
Generic Drug Cost
$30K
Opioid Claims
27 (2.4% rate)
Antibiotic Claims
184

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.53
Gender Split
24% female / 76% male
Age Distribution
<65: 21, 65-74: 103, 75-84: 97, 85+: 22

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Sean Egan, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Tamsulosin Hcl
 222
Oxybutynin Chloride Er
Oxybutynin Chloride
138
Dutasteride
 136
Cephalexin
 71
Myrbetriq
Mirabegron
44
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
38
Levofloxacin
 36
Testosterone
 36
Desmopressin Acetate
 34
Xyosted
Testosterone Enanthate
33

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Urology Physician in NJ → All providers in New Jersey → Compare specialties →

Urology Physician Overview

How Sean Egan, M.D. fits within the Urology Physician landscape nationally.

13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider

Sean Egan, M.D.'s 1,126 claims are below the specialty average of 1,354.

Nationwide Urology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Egan, both outside New Jersey so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (93.7 here).

Rahuldev Bhalla 93.7 NY John Won 93.7 NY Natvarlal Patel 93.7 NE Spencer Hill 93.8 OH

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

David Sussman Brooklyn, NY Yenning Chuang Anaheim, CA Gilad Amiel Houston, TX Timothy Brand Pensacola, FL

Nearby Urology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Egan.

One of 412 Urology Physician providers enrolled in New Jersey, 5 are shown here.

Joel Abramowitz
Jersey City, NJ
Dr. Anika Ackerman
MD
Morristown, NJ
Dr. Randy Ackerman
MD
Cherry Hill, NJ
Dr. Philip Affuso
MD
Englewood, NJ
Dr. Saurabh Agarwal
MD
Midland Park, NJ

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Sean Egan, M.D.'s specialty? ▼
Sean Egan, M.D. specializes in Urology Physician and practices in West Orange, New Jersey. Credentials: M.D..
How much does Sean Egan, M.D. prescribe under Medicare Part D? ▼
In 2024, Sean Egan, M.D. wrote 1,126 Medicare Part D claims totaling $365K in drug costs for 243 beneficiaries.
What is Sean Egan, M.D.'s Medicare quality score? ▼
Sean Egan, M.D. has a CMS MIPS Final Score of 93.7/100 (Quality: 77.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sean Egan, M.D. located? ▼
Sean Egan, M.D. is located at 443 NORTHFIELD AVE, West Orange, NJ, 07052. Phone: (973) 324-0103.
What is Sean Egan, M.D.'s NPI number? ▼
Sean Egan, M.D.'s National Provider Identifier (NPI) is 1164588711, issued on 12/28/2006.
Does Sean Egan, M.D. prescribe opioids? ▼
Yes, Sean Egan, M.D. had 27 opioid claims in 2024 with an opioid prescribing rate of 2.4%.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Sean Egan, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Sean Egan, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Oxybutynin Chloride Er, Dutasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sean Egan, M.D. accept Medicare? ▼
Sean Egan, M.D. appears in CMS Medicare data with 1,126 Part D claims and 243 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sean Egan, M.D.'s credentials? ▼
Sean Egan, M.D.'s NPI is 1164588711 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.