Individual provider Active NPI

Seth D Rayburn, MD

  • Surgery Physician
  • Athens, AL
National Provider Identifier
1720079940
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23684 Issued in AL
Practice address
707 W Market St Ste C
Athens, AL 35611-2463
Phone
(256) 216-6500
Fax
(256) 216-8777
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 23684 AL Primary

Addresses

Primary practice location

707 W Market St Ste C
Athens, AL 35611-2463

Mailing address

PO Box 630
Athens, AL 35612-0630
Phone (256) 216-6500

Other identifiers 3

IdentifierTypeStateIssuer
1720079940OtherALNPI
051001883OtherALBCBS OF AL
009932649MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040809000379 AL Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 3971575218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
University of South Alabama College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

707 W Market St
Suite C
Athens, AL 35611-2463
Phone (256) 216-6500

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Athens, AL, CCN 017881
  • Athens-Limestone Homecare Home health agency, Athens, AL, CCN 017095
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy138
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux77
Melanoma (skin cancer) excision1-10
Removal of tissue250
Removal of skin lesions25
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23684ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seth D Rayburn MD PC Surgery CurrentSince Aug 1, 2005 Accepting new patients
Koonce Surgical PC CurrentSince Mar 24, 2025 Accepting new patients
Tranqui Surgical PC Surgery CurrentSince Mar 24, 2025 Accepting new patients

Locations

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

201 N Malone St
Athens, AL 35611
Phone (256) 216-6500

707 W Market St
Ste C
Athens, AL 35611
Phone (256) 216-6500

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1720079940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356120630",
            "telephone_number": "256-216-6500",
            "fax_number": "256-216-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W MARKET ST STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112463",
            "telephone_number": "256-216-6500",
            "fax_number": "256-216-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "SETH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "23684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720079940",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051001883",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932649",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.