NPI registry status
Active
2026 NPPES data Diagnostic Radiology Physician NPI 1043429152 M.D.
Verify on CMS → Sean Whalen, M.D.
Diagnostic Radiology Physician in New York, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 39,551 in Diagnostic Radiology 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
39
Medicare Part D claims · Diagnostic Radiology Physician avg: 63
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$853.04
6 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Sean Whalen, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 39 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 39
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (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.
Sean Whalen, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
39 ≥ 0th percentile 0% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Sean Whalen, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 17 hospital affiliations - 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 Whalen, M.D.?
CMS neutral score, not measuredPrimary specialty
Diagnostic Radiology Physician
Medicare Part D claims
39 38% vs specialty avg
MIPS final score
75/100
Specialty distribution in New York
How Diagnostic Radiology Physician compares to other specialties among New York providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Sean Whalen, M.D. appears in the CMS NPPES registry as a Diagnostic Radiology Physician provider holding M.D. credentials at 622 W 168TH ST, New York, NY, 10032, with a listed phone of (212) 305-9729. NPI 1043429152 was issued on 05/22/2007.
Medicare Part D records for calendar year 2023 show 39 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.
Diagnostic Radiology Physician is a mid-sized specialty nationwide, with 39,551 enrolled providers across 56 states and an average of 63 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1043429152 |
|---|---|
| Specialty | Diagnostic Radiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/22/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sean Whalen, 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.
According to CMS billing records, Sean Whalen, M.D. is affiliated with 17 Medicare-billing facilities across 7 states, 1 of which carry a CMS Hospital overall star rating.
Southeastern Regional Medical Center
★★☆☆☆ 2/5
Lumberton, NC
Acute Care Hospitals
CMS CCN: 340050
Aspirus Iron River Hospital And Clinics Inc
Iron River, MI
Aspirus Ironwood Hospital And Clinics Inc
Ironwood, MI
Aspirus Keweenaw
Laurium, MI
Aspirus Medford Hospital And Clinics Inc
Medford, WI
Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.
Rhinelander, WI
Bellingham Advanced Medical Imaging LLC
Bellingham, WA
Divine Savior Healthcare Inc
Portage, WI
East Post Road Medical Services PC
New York, NY
Fairbanks Medical Imaging LLC
Bellingham, WA
Integris Ambulatory Care Corporation
Oklahoma City, OK
Jefferson County Public Hospital District NO 2
Port Townsend, WA
Langlade Hospital - Hotel Dieu OF St Joseph OF Antigo Wisconsin
Antigo, WI
Skagit Digital Imaging LLC
Mount Vernon, WA
Skagit Radiology Inc P S
Bellingham, WA
Sol Radiology Inc
Sag Harbor, NY
Showing the 16 highest-rated of 17 affiliated facilities.
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 Whalen, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$853
Largest payer
Medical Device Business Services, Inc.
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.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Sean Whalen, M.D.. To verify Sean Whalen, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
39
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 46
- Total Day Supply
- 913
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 1.48
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Diagnostic Radiology Physician Overview
How Sean Whalen, M.D. fits within the Diagnostic Radiology Physician landscape nationally.
39,551
Diagnostic Radiology Physician Providers in US
56
States with Diagnostic Radiology Physician
63
Avg Claims per Provider
Sean Whalen, M.D.'s 39 claims are below the specialty average of 63.
Nearby Diagnostic Radiology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Whalen.
Dr. Adel Abadir
MD
Middletown, NY
Dr. Almas Abbasi
M.D.
Stony Brook, NY
Dr. Genevieve Abbey
M.D.
New York, NY
Ghadi Abboud
New York, NY
Dr. Salah Abdelhadi
M.D.
Williamsville, NY
Compare Diagnostic Radiology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Diagnostic Radiology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New York
Frequently Asked Questions
What is Sean Whalen, M.D.'s specialty? ▼
Sean Whalen, M.D. specializes in Diagnostic Radiology Physician and practices in New York, New York. Credentials: M.D..
How much does Sean Whalen, M.D. prescribe under Medicare Part D? ▼
In 2023, Sean Whalen, M.D. wrote 39 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
What is Sean Whalen, M.D.'s Medicare quality score? ▼
Sean Whalen, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Whalen, M.D. located? ▼
Sean Whalen, M.D. is located at 622 W 168TH ST, New York, NY, 10032. Phone: (212) 305-9729.
What is Sean Whalen, M.D.'s NPI number? ▼
Sean Whalen, M.D.'s National Provider Identifier (NPI) is 1043429152, issued on 05/22/2007.
How many Diagnostic Radiology Physician providers are there in the US? ▼
There are 39,551 Diagnostic Radiology Physician providers across 56 states in the US. The average Diagnostic Radiology Physician provider writes 63 Medicare Part D claims per year.
What drugs does Sean Whalen, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sean Whalen, M.D.'s most frequently prescribed drugs include Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sean Whalen, M.D. accept Medicare? ▼
Sean Whalen, M.D. appears in CMS Medicare data with 39 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sean Whalen, M.D.'s credentials? ▼
Sean Whalen, M.D.'s NPI is 1043429152 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 (2023). 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 April 2026 (NPPES) / 2023 (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
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 May 2026.