Individual provider Active NPI

Sean Michael Wilkinson, D.O.

  • Orthopaedic Surgery Physician
  • Newton, NJ
National Provider Identifier
1649615626
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MB10595900 Issued in NJ
Practice address
280 Newton Sparta Rd Ste 4
Newton, NJ 07860-2775
Phone
(973) 579-7443
Fax
(862) 354-8220
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MB10595900 NJ Primary

Addresses

Primary practice location

280 Newton Sparta Rd Ste 4
Newton, NJ 07860-2775

Mailing address

280 Newton Sparta Rd Ste 4
Newton, NJ 07860-2775
Phone (973) 579-7443

Other practice location 1

452 Route 206
Montague, NJ 07827-3045
Phone (973) 579-7443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625002738 NJ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8224315817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Associates LLCGroup PAC ID 0840283008, 45 clinicians

Practice addresses (Care Compare)

280 Newton Sparta Rd
Suite 4
Newton, NJ 07860-2775
Phone (973) 579-7443

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.05 of 100Reported as apm
Quality
65.09
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Associates, LLC CurrentSince Aug 1, 2019 Accepting new patients
Premier Health Associates LLC CurrentSince Aug 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

280 Newton Sparta Rd
Ste 4
Newton, NJ 07860
Phone (973) 579-7443

123 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 579-1000

532 Lafayette Rd
Ste 300
Sparta, NJ 07871
Phone (973) 940-0423

Interoperability endpoints

  • Direct secure messaging: seanwilkinson@premiernj.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJHBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1649615626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 NEWTON SPARTA RD STE 4",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602775",
            "telephone_number": "973-579-7443",
            "fax_number": "862-354-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWTON SPARTA RD STE 4",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602775",
            "telephone_number": "973-579-7443",
            "fax_number": "862-354-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Route 206",
            "address_purpose": "LOCATION",
            "city": "Montague",
            "state": "NJ",
            "postal_code": "078273045",
            "country_code": "US",
            "telephone_number": "973-579-7443",
            "fax_number": "862-354-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MB10595900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.