Individual provider Active NPI

Samuel K Seto, M.D.

  • Ophthalmology Physician
  • Edmonds, WA
National Provider Identifier
1144300542
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00032689 Issued in WA
Practice address
21911 76TH Ave W
Suite 101
Edmonds, WA 98026-7903
Phone
(425) 774-7723
Fax
(425) 778-2788
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00032689 WA Primary

Addresses

Primary practice location

21911 76TH Ave W
Suite 101
Edmonds, WA 98026-7903

Mailing address

21911 76TH Ave W
Suite 101
Edmonds, WA 98026-7903
Phone (425) 774-7723

Other identifiers 4

IdentifierTypeStateIssuer
019394001OtherWADMERC PROVIDER NUMBER
101465OtherWAL&I PROVIDER NUMBER
1094564MedicaidWA
SE5264OtherWAREGENCE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120127000243 WA Practitioner - Ophthalmology 5991695058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel K. Seto MD PLLCGroup PAC ID 5294625356, 2 clinicians

Practice addresses (Care Compare)

21911 76TH Ave W
Suite 101
Edmonds, WA 98026-7918
Phone (425) 774-7723

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel K. Seto MD PLLC Ophthalmology CurrentSince Oct 1, 1999 Accepting new patients

Locations

21911 76th Ave W
Ste 101
Edmonds, WA 98026
Phone (425) 744-7723

21616 76th Ave W
#105
Edmonds, WA 98026
Phone (425) 774-7723

Organizations & group practices 1

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 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1144300542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21911 76TH AVE W",
            "address_2": "SUITE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267903",
            "telephone_number": "425-774-7723",
            "fax_number": "425-778-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21911 76TH AVE W",
            "address_2": "SUITE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267903",
            "telephone_number": "425-774-7723",
            "fax_number": "425-778-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETO",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00032689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PROVIDER NUMBER",
            "identifier": "019394001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "101465",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1094564",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROVIDER NUMBER",
            "identifier": "SE5264",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.