JOHN HENLEY SEYMOUR MD
NPI 1093247249
Family Medicine in Vero Beach, FL

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1000 36TH ST, VERO BEACH, FL 32960(772) 794-2552 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2022, Mar 28, 2017 (2 updates tracked since 2017).

About John Henley Seymour Md NPPES

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

JOHN HENLEY SEYMOUR MD (NPI 1093247249) is an individual family medicine provider in Vero Beach, Florida, licensed in Florida (ME151854) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093247249
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN HENLEY SEYMOURCredential: MD
Location Address1000 36TH STVero Beach, FL 32960-4862
Mailing Address1000 36th StVero Beach, FL 32960-4862
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 28, 2017
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1093247249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME151854
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 36TH ST, Vero Beach, FL 32960

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

John Henley Seymour 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 ID1951648005
PECOS Enrollment IDI20220822002970
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
653 services230 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
200 services188 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
146 services83 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
130 services50 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Cleveland Clinic Hospital

Acute Care Hospitals · Weston, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100289
Location3100 Weston RdWeston, FL 33331 · Broward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
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.

Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Psychiatry & Neurology (Vascular Neurology)
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant (Medical)
1000 36TH ST
VERO BEACH, FL 32960
Radiology (Vascular & Interventional Radiology)
1000 36TH ST
VERO BEACH, FL 32960
Nurse Practitioner (Family)
1000 36TH ST
VERO BEACH, FL 32960
Dietitian, Registered
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant (Surgical)
1000 36TH ST
VERO BEACH, FL 32960

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 John Seymour's NPI number?

The NPI number for John Seymour is 1093247249. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is John Seymour located?

John Seymour practices at 1000 36th St, Vero Beach, FL 32960. The listed phone number is (772) 794-2552.

What is John Seymour's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Seymour enrolled in Medicare?

Yes. John Seymour 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 John Seymour accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list John Seymour 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 John Seymour affiliated with any hospitals?

According to CMS data, John Seymour is affiliated with Cleveland Clinic Martin North Hospital, Cleveland Clinic Indian River Hospital and Cleveland Clinic Hospital.

When was this NPI record last updated?

The NPPES record for John Seymour was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.