Individual provider Active NPI

Peter C Seline, MD

  • MOHS-Micrographic Surgery Physician
  • Westerville, OH
National Provider Identifier
1982689121
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
35077832 Issued in OH
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00095225OtherOHRR MEDICARE
000000309770OtherOHANTHEM
2192676MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000541 OH Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 2769382894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Mayo Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians
Advanced Dermatology of North Central Ohio IncGroup PAC ID 7113058801, 11 clinicians

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 100Reported as group
Promoting interoperability
91
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions247
Removal of skin cancer955
Skin biopsy123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077832OHMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of North Central Ohio Inc Dermatology CurrentSince May 1, 2020 Accepting new patients
Center for Surgical Dermatology Inc Dermatology CurrentSince Jan 1, 2004 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.