Dr. Sean Michael Mcfadden , DO
Internal Medicine โข Lititz, PA
1500 Highlands Dr
Lititz, PA 17543
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Sean Mcfadden is listed in NPPES under Internal Medicine.
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NPI assigned on June 4, 2015; this date does not establish years in practice.
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Published CMS data list 105 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99223 โ Initial hospital care with moderate level of medical decision making: 71 service units.
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 34 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 161 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Lisinopril โ 27 prescription fills, including refills.
- Gabapentin โ 24 prescription fills, including refills.
- Pravastatin Sodium โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 85% of clinicians listed under Internal Medicine in Pennsylvania (2024, 3,785 clinicians with data). Median for this group: 537. Middle half: 226 to 1,059.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 121 in 2020 to 105 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1500 Highlands Dr
Lititz, PA 17543
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 5 distinct additional practice-address records in Boardman, OH; Cincinnati, OH; Ephrata, PA and 2 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Sun State Hospitalists Llc; University Hospitals Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Arizona College Of Osteopathic Medicine Mid Western University
2015
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
110 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $15,826 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $12,490 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
227 standardized 30-day fills in 2018
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$6,947 in 2018
The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Mcfadden has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Mcfadden as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lititz and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Internal Medicine in Pennsylvania (2024, 3,785 clinicians with data). Median for this group: 537. Middle half: 226 to 1,059.
Too few clinicians listed under Internal Medicine in Lititz have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Pennsylvania (2024, 3,785 clinicians with data). Median for this group: $52,547. Middle half: $22,093 to $99,718.
Too few clinicians listed under Internal Medicine in Lititz have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Internal Medicine in Pennsylvania (2024, 3,785 clinicians with data). Median for this group: $39,855. Middle half: $16,891 to $76,508.
Too few clinicians listed under Internal Medicine in Lititz have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Mcfadden are from 2018.
13 active clinicians are listed under Internal Medicine with a practice address in Lititz, PA (7,304 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lititz
0% of these 13 clinicians have the CMS telehealth indicator.
76.9% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 13% from 121 in 2020 to 105 in 2024.
- 2020: 121
- 2021: 169
- 2022: 176
- 2023: 116
- 2024: 105
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Medicare-allowed amount
Medicare-allowed amount decreased 26% from $21,354 in 2020 to $15,826 in 2024.
- 2020: $21,354
- 2021: $31,214
- 2022: $21,292
- 2023: $17,596
- 2024: $15,826
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Paid by Medicare
Paid by Medicare decreased 23% from $16,215 in 2020 to $12,490 in 2024.
- 2020: $16,215
- 2021: $24,047
- 2022: $16,879
- 2023: $14,019
- 2024: $12,490
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 360% from 35 in 2016 to 161 in 2018.
- 2016: 35
- 2017: 121
- 2018: 161
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30-day fills
30-day fills increased 549% from 35 in 2016 to 227 in 2018.
- 2016: 35
- 2017: 209
- 2018: 227
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Part D drug cost
Part D drug cost increased 121% from $3,140 in 2016 to $6,947 in 2018.
- 2016: $3,140
- 2017: $2,242
- 2018: $6,947
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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71 | 70 | $831.68 | $163.88 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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34 | 34 | $301.37 | $123.24 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Lisinopril | Lisinopril | 27 | 1,590 | $201.02 | โ |
| Gabapentin | Gabapentin | 24 | 1,008 | $189.89 | โ |
| Pravastatin Sodium | Pravastatin Sodium | 16 | 760 | $336.34 | โ |
| Metformin Hcl | Metformin Hcl | 13 | 750 | $83.22 | โ |
| Fluoxetine Hcl | Fluoxetine Hcl | 13 | 510 | $104.87 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 12 | 360 | $25.03 | โ |
| Eliquis | Apixaban | 12 | 360 | $5,133.72 | โ |
| Montelukast Sodium | Montelukast Sodium | 11 | 311 | $174.58 | โ |
| Zolpidem Tartrate | Zolpidem Tartrate | 11 | 450 | $128.84 | โ |
| Oxycodone Hcl | Oxycodone Hcl | 11 | 330 | $389.55 | โ |
| Risperidone | Risperidone | 11 | 330 | $180.20 | โ |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-09-09NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 208M00000X
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
NUCC Taxonomy Code: 208M00000X
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - HOSPITALIST
I20220210002714
FL
1557647146
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
University Hospitals Medical Group Inc
11100 Euclid Ave, Cleveland, OH 441061716
Phone: 2168441000
Sun State Hospitalists Llc
300 Pinellas St, Clearwater, FL 337563804
Phone: 7274627000
Secondary Practice Locations
169 Martin Ave
Ephrata, PA 175221724
Phone: 7177214740
11109 Parkview Plaza Dr
Fort Wayne, IN 468451701
Phone: 2602662020
234 Goodman St
Cincinnati, OH 452192364
Phone: 5134758000
8401 Market St
Boardman, OH 445126725
Phone: 3307294298
1200 J D Anderson Dr
Morgantown, WV 265053494
Phone: 3045981200
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Anesthesiology
Emergency Medicine
Anesthesiology
Doctor of Osteopathic Medicine (D.O.)
Anesthesiology
Certified Registered Nurse Anesthetist
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Internal Medicine (license number reported to NPPES: IN 02005585A)
Internal Medicine (license number reported to NPPES: WV 3509)
Internal Medicine (license number reported to NPPES: OH 34013972)
Registered at 1500 HIGHLANDS DR, LITITZ, PA 17543 (Tel: 7176255000)
Internal Medicine (license number reported to NPPES: PA OS018476)
NPI status registered as active in NPPES database
Registered at 1500 HIGHLANDS DR, LITITZ, PA 175437694 (Tel: 7176255000)
Registered at 1500 HIGHLANDS DR, LITITZ, PA 175437694 (Tel: 7176255000)
Recorded as SEAN MCFADDEN, D.O.
Internal Medicine (license number reported to NPPES: PA OT016648)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Lititz
- Dr. Baasma Khan, DO
- Maryam Salimi-Tari
- Dr. Taylor Hudson, DO
- Dr. Blake Rabe, DO
- Dr. Yamin Thein, MD
- Dr. Adebimpe Afolabi, DO
Mailing Address
1500 Highlands Dr
Lititz, PA 175437694
Phone: 7176255000