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MR. ROSS EDWIN SETHMAN DDS
NPI 1013096494
Dentist - Oral and Maxillofacial Surgery in Stillwater, OK

Active since November 04, 2006Opted out of Medicare · through May 19, 2028
812 SOUTH PINE STREET, STILLWATER, OK 74074(405) 624-1300(405) 624-3084 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ross Edwin Sethman Dds NPPES

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

MR. ROSS EDWIN SETHMAN DDS (NPI 1013096494) is an individual oral and maxillofacial surgery provider in Stillwater, Oklahoma, licensed in Oklahoma (115) and active in the NPI registry since November 2006. He has opted out of Medicare through May 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013096494
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. ROSS EDWIN SETHMANCredential: DDS
Location Address812 SOUTH PINE STREETStillwater, OK 74074
Mailing Address812 South Pine StreetStillwater, OK 74074 · (405) 624-1300 · Fax (405) 624-3084
Phone(405) 624-1300
Fax(405) 624-3084
Sole ProprietorNo
Enumeration DateNovember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013096494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OK · 115
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
812 SOUTH PINE STREET, Stillwater, OK 74074
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedU42199

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Ross Edwin Sethman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2016 through May 19, 2028.

Opt-Out Effective DateMay 19, 2016
Opt-Out In Effect ThroughMay 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74074 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MR. RICHARD REED MILLER DDS
Dentist (Oral and Maxillofacial Surgery)
812 SOUTH PINE STREET
STILLWATER, OK 74074
Payne County (405) 624-1300

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 Ross Sethman's NPI number?

The NPI number for Ross Sethman is 1013096494. It was assigned to this individual provider in the NPPES registry on November 4, 2006.

Where is Ross Sethman located?

Ross Sethman practices at 812 South Pine Street, Stillwater, OK 74074. The listed phone number is (405) 624-1300.

What is Ross Sethman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Ross Sethman enrolled in Medicare?

No. Ross Sethman has opted out of Medicare through May 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ross Sethman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.