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MYTHILI SEETHARAMAN MD
NPI 1023077856
Internal Medicine - Rheumatology in East Stroudsburg, PA

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
505 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301(610) 776-5038 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mythili Seetharaman Md NPPES

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

MYTHILI SEETHARAMAN MD (NPI 1023077856) is an individual rheumatology provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD071249L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1023077856
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMYTHILI SEETHARAMANCredential: MD
Location Address505 INDEPENDENCE RDEast Stroudsburg, PA 18301-7916
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500
Phone(610) 776-5038
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 21, 2006
Last NPPES UpdateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1023077856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in PA · MD071249L
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
505 INDEPENDENCE RD, East Stroudsburg, PA 18301
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Other Identifiers 1

Medicaid00189905PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mythili Seetharaman Md 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 ID8224184205
PECOS Enrollment IDI20090916000158
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.

Areas of Expertise CMS Part B claims 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
11,160 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
424 services274 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
303 services204 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
217 services125 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.98
Promoting Interoperability100
Improvement Activities40
Cost66.08

Reported Quality Measures

Advance Care Plan
96%587 patients4/55-star benchmark: 100%
Breast Cancer Screening
68%405 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
62%65 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
67%64 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%31 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,941 patients4/55-star benchmark: 100%
e-Prescribing
94%1,283 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
93%572 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
89%1,039 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%1,750 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 769 patients
Patients screened: 92% · 769 patients
81%54 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%779 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%81 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

DYLAN KEITH BILLINGS
Physical Therapy Assistant
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (570) 420-8080
MARIA JORDAN
Physical Therapist
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (610) 861-8080
POCONO VASCULAR INSTITUTE PC
Specialist
505 INDEPENDENCE RD, SUITE C
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-5003
DR. BAILEY BRUGLER PT, DPT
Physical Therapist
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (484) 273-4241
DR. BORIS PAUL M.D.,F.A.C.S
Surgery (Vascular Surgery)
505 INDEPENDENCE RD, STE E
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-5997
MICHAEL SIRKIN M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (610) 402-8900
POCONO FAMILY HEALTH, LLC
Specialist
505 INDEPENDENCE RD, SUITE C
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-5003
MS. SHAYNA MARIE KSANZNAK CRNP
Nurse Practitioner (Family)
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (610) 402-8900

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 Mythili Seetharaman's NPI number?

The NPI number for Mythili Seetharaman is 1023077856. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Mythili Seetharaman located?

Mythili Seetharaman practices at 505 Independence Rd, East Stroudsburg, PA 18301. The listed phone number is (610) 776-5038.

What is Mythili Seetharaman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mythili Seetharaman enrolled in Medicare?

Yes. Mythili Seetharaman 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.

What insurance does Mythili Seetharaman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mythili Seetharaman 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 Mythili Seetharaman affiliated with any hospitals?

According to CMS data, Mythili Seetharaman is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Mythili Seetharaman was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.