DR. KI WON SEO M.D.
NPI 1003236423
Hospitalist in Plainview, NY

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating
54 CENTRAL PARK RD, PLAINVIEW, NY 11803(718) 670-2000 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ki Won Seo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KI WON SEO M.D. (NPI 1003236423) is an individual hospitalist provider in Plainview, New York, licensed in New York (290456) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003236423
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. KI WON SEOCredential: M.D.
Location Address54 CENTRAL PARK RDPlainview, NY 11803-2012
Mailing Address54 Central Park RdPlainview, NY 11803-2012
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 24, 2014
Last NPPES UpdateJanuary 4, 2018
✔ NPI 1003236423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 290456
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 290456 (NY)
54 CENTRAL PARK RD, Plainview, NY 11803

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ki Won Seo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315212552
PECOS Enrollment IDI20171013001904, I20230522003100, I20250710002245
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Ki Won Seo reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
41 E POST RD
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 479 clinicians in this Medicare group
Internal Medicine
2420 LAKE AVE
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 272 clinicians in this Medicare group
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 383 clinicians in this Medicare group
Specialist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Louisiana enrollment
  • 104 clinicians in this Medicare group
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, New York enrollment
  • 354 clinicians in this Medicare group
Internal Medicine
2525 E CAMELBACK RD, #1100
Phoenix, AZ 85016
  • Reassigned Medicare billing, Oregon enrollment
  • 70 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1043354020 (California)
  • 2,460 clinicians in this Medicare group
Hospitalist
2500 GRANT RD
Mountain View, CA 94040
  • Reassigned Medicare billing, California enrollment
  • 217 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
264 services121 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
204 services98 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
121 services120 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
54 CENTRAL PARK RD
PLAINVIEW, NY 11803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ki Won Seo's NPI number?

The NPI number for Ki Won Seo is 1003236423. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Ki Won Seo located?

Ki Won Seo practices at 54 Central Park Rd, Plainview, NY 11803. The listed phone number is (718) 670-2000.

What is Ki Won Seo's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ki Won Seo enrolled in Medicare?

Yes. Ki Won Seo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ki Won Seo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ki Won Seo reassigns Medicare benefits to 8 organizations: East Post Road Medical Services PC (White Plains, NY), Apogee Medical Group Ohio Inc (Ashtabula, OH), Apogee Medical Group Of Pennsylvania PC (Scottsdale, AZ), Apogee Medical Group, Louisiana, Inc. (Scottsdale, AZ), Apogee Medical Group, New York, PC (Scottsdale, AZ) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ki Won Seo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ki Won Seo accept?

Health plans from CareSource and HMO Louisiana list Ki Won Seo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ki Won Seo affiliated with any hospitals?

According to CMS data, Ki Won Seo is affiliated with East Jefferson General Hospital and Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Ki Won Seo was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.