SETH D. O'BRIEN M.D.
NPI 1053420026
Radiology - Diagnostic Radiology in Austin, TX

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
92.71/100
CMS Quality Rating
12554 RIATA VISTA CIR, AUSTIN, TX 78727(512) 795-5100(512) 795-5122 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seth D. O'brien M.d. NPPES

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

SETH D. O'BRIEN M.D. (NPI 1053420026) is an individual diagnostic radiology provider in Austin, Texas, licensed in Texas (M7485) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Georgetown University School Of Medicine (1998).

NPPES Registry Identity

NPI1053420026
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSETH D. O'BRIENCredential: M.D.
Location Address12554 RIATA VISTA CIRAustin, TX 78727-6431
Mailing Address12554 Riata Vista CirAustin, TX 78727-6431 · (512) 795-5100 · Fax (512) 795-5122
Fax(512) 795-5122
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1998
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 21, 2022
NPI 1053420026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · M7485
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

12554 RIATA VISTA CIR, Austin, TX 78727

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 D. O'brien 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 ID5597790030
PECOS Enrollment IDI20150317000424
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 27

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
372 services369 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
302 services291 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
190 services188 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
146 services145 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
116 services115 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
73 services73 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78727 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

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.

92.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.42
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Clinic/Center (Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Physician Assistant
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Vascular & Interventional Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727

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 O'brien's NPI number?

The NPI number for Seth O'brien is 1053420026. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Seth O'brien located?

Seth O'brien practices at 12554 Riata Vista Cir, Austin, TX 78727. The listed phone number is (512) 795-5100.

What is Seth O'brien's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Seth O'brien enrolled in Medicare?

Yes. Seth O'brien 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 O'brien accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Seth O'brien 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 O'brien affiliated with any hospitals?

According to CMS data, Seth O'brien is affiliated with Ascension Seton Medical Center Austin, St David's Medical Center, St David's South Austin Medical Center, Round Rock Medical Center and North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Seth O'brien was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.