Active NPI
Peter C Seline, MD
- MOHS-Micrographic Surgery Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 35077832
- Practice address
- 428 County Line Road
Westerville, OH 43082 - Phone
- (614) 847-4100
- Fax
- (614) 430-1601
- NPI assigned
- Dec 9, 2005
- Last updated
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35077832 | OH | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 35077832 | OH | Primary |
Addresses
Primary practice location
428 County Line Road
Westerville, OH 43082
Mailing address
428 County Line Road
Westerville, OH 43082
Phone (614) 847-4100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00095225 | Other | OH | RR MEDICARE |
| 000000309770 | Other | OH | ANTHEM |
| 2192676 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Mayo Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
428 County Line Rd W
Westerville, OH 43082-7027
Phone (614) 847-4100
770 Balgreen Dr
Suite 201
Mansfield, OH 44906-4106
Phone (419) 756-1600
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Promoting interoperability
- 91
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 74 |
| Removal of skin lesions | 247 |
| Removal of skin cancer | 955 |
| Skin biopsy | 123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077832 | OH | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of North Central Ohio Inc | Dermatology | Current | Accepting new patients |
| Center for Surgical Dermatology Inc | Dermatology | Current | Accepting new patients |
| Osu Internal Medicine | Past | Accepting new patients | |
| Osu Internal Medicine, LLC | Dermatology | Past | Accepting new patients |
| CSD ASC LLC | Past | Accepting new patients |
Locations
1080 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (317) 201-4677
170 Northwoods Blvd
Ste 10
Columbus, OH 43235
Phone (614) 436-7188
2000 Newark Granville Rd
Ste 202
Granville, OH 43023
Phone (740) 587-3376
1566 Monmouth Dr
Ste 201
Lancaster, OH 43130
Phone (740) 653-2224
770 Balgreen Dr
Ste 201
Mansfield, OH 44906
Phone (419) 756-1600
161 Clint Dr
Ste 100
Pickerington, OH 43147
Phone (614) 866-8535
235 W Schrock Rd
Westerville, OH 43081
Phone (614) 895-0400
428 County Line Rd W
Westerville, OH 43082
Phone (614) 847-4100
428 County Line Rd W
Ste 100
Westerville, OH 43082
Phone (614) 847-4100
817 Forest Ave
Zanesville, OH 43701
Phone (740) 454-7546
Interoperability endpoints
- pseline@qdp.emadirect.md
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Procedural Dermatology Physician
- Mansfield, OH
- NPI 1073528733
-
- Dermatology Physician
- Westerville, OH
- NPI 1972532091
-
- Ambulatory Surgical Clinic/Center
- Westerville, OH
- NPI 1821159823
-
- Specialist
- Columbus, OH
- NPI 1346406972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1982689121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 COUNTY LINE ROAD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "43082",
"telephone_number": "614-847-4100",
"fax_number": "614-430-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 COUNTY LINE ROAD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "43082",
"telephone_number": "614-847-4100",
"fax_number": "614-430-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELINE",
"first_name": "PETER",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35077832",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "OH",
"license": "35077832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00095225",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000309770",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2192676",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.