NATHAN SETHMAN DDS
NPI 1053937854
Dentist - General Practice in Mangum, OK

Active since June 18, 2020Opted out of Medicare · through Mar 7, 2027
1410 N LOUIS TITTLE AVE, MANGUM, OK 73554(580) 782-5513 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Sethman Dds NPPES

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

NATHAN SETHMAN DDS (NPI 1053937854) is an individual general practice provider in Mangum, Oklahoma, licensed in Oklahoma (T-7322) and active in the NPI registry since June 2020. He has opted out of Medicare through March 7, 2027 and remains eligible to order and refer and maintains a secondary practice location in Altus.

NPPES Registry Identity

NPI1053937854
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNATHAN SETHMANCredential: DDS
Location Address1410 N LOUIS TITTLE AVEMangum, OK 73554-2218
Mailing Address1410 N Louis Tittle AveMangum, OK 73554-2218
Sole ProprietorNo
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
NPI 1053937854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · T-7322
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1410 N LOUIS TITTLE AVE, Mangum, OK 73554

Secondary Practice Location 1

Location 1907 Falcon RdAltus, OK 73521-2833 · Phone (580) 482-3974

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nathan 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 March 7, 2023 through March 7, 2027.

Opt-Out Effective DateMarch 7, 2023
Opt-Out In Effect ThroughMarch 7, 2027Opt-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 73554 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.

Clinic/Center (Dental)
1410 N LOUIS TITTLE AVE
MANGUM, OK 73554

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 Nathan Sethman's NPI number?

The NPI number for Nathan Sethman is 1053937854. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Nathan Sethman located?

Nathan Sethman practices at 1410 N Louis Tittle Ave, Mangum, OK 73554. The listed phone number is (580) 782-5513.

What is Nathan Sethman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nathan Sethman enrolled in Medicare?

No. Nathan Sethman has opted out of Medicare through March 7, 2027. 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.

What insurance does Nathan Sethman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list Nathan Sethman 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.

When was this NPI record last updated?

The NPPES record for Nathan Sethman was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.