SETH E SMITH MD
NPI 1033137815
Surgery in West Allis, WI

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
2424 S 90TH ST FL 3, WEST ALLIS, WI 53227(414) 328-8080(414) 328-8350 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2023, Nov 23, 2021, Dec 20, 2018 and 2 more (5 updates tracked since 2017).

About Seth E Smith Md NPPES

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

SETH E SMITH MD (NPI 1033137815) is an individual surgery provider in West Allis, Wisconsin, licensed in Wisconsin (41274) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with West Allis Memorial Hospital, and is a graduate of University Of Nebraska College Of Medicine (1994).

NPPES Registry Identity

NPI1033137815
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSETH E SMITHCredential: MD
Location Address2424 S 90TH ST FL 3West Allis, WI 53227-2455
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (414) 328-8080
Fax(414) 328-8350
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1994
Enumeration DateJuly 18, 2006
Last NPPES UpdateMay 17, 20235 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
NPI 1033137815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 41274
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2424 S 90TH ST FL 3, West Allis, WI 53227

Other Identifiers 1

Medicaid1033137815WI

Accepted 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

Seth E Smith 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 ID8426104571
PECOS Enrollment IDI20090915000669
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 2

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.

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.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 7

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

Physician Assistant
2424 S 90TH ST FL 3
WEST ALLIS, WI 53227
Nurse Practitioner
2424 S 90TH ST FL 3
WEST ALLIS, WI 53227
Nurse Practitioner
2424 S 90TH ST FL 3
WEST ALLIS, WI 53227
Nurse Practitioner
2424 S 90TH ST FL 3
WEST ALLIS, WI 53227
Internal Medicine (Pulmonary Disease)
2424 S 90TH ST FL 3
WEST ALLIS, WI 53227
Urology
2424 S 90TH ST FL 3
WEST ALLIS, WI 53227
Internal Medicine (Pulmonary Disease)
2424 S 90TH ST FL 3
WEST ALLIS, WI 53227

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 Seth Smith's NPI number?

The NPI number for Seth Smith is 1033137815. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Seth Smith located?

Seth Smith practices at 2424 S 90th St Fl 3, West Allis, WI 53227. The listed phone number is (414) 328-8080.

What is Seth Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Seth Smith enrolled in Medicare?

Yes. Seth Smith 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 Seth Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Seth Smith 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 Seth Smith affiliated with any hospitals?

According to CMS data, Seth Smith is affiliated with West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Seth Smith was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.