SEONG-WOOK SEO M.D.
NPI 1104213180
Anesthesiology - Pain Medicine in Bolivar, MO

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
1155 W PARKVIEW ST STE 1C, BOLIVAR, MO 65613(417) 326-7246(417) 777-2968 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2021, Nov 23, 2020, Nov 20, 2020 (3 updates tracked since 2020).

About Seong-wook Seo M.d. NPPES

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

SEONG-WOOK SEO M.D. (NPI 1104213180) is an individual pain medicine provider in Bolivar, Missouri, licensed in Missouri (2020001901) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1104213180
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameSEONG-WOOK SEOCredential: M.D.
Location Address1155 W PARKVIEW ST STE 1CBolivar, MO 65613-7800
Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000 · Fax (417) 328-6338
Fax(417) 777-2968
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 17, 2015
Last NPPES UpdateApril 23, 20213 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
NPI 1104213180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in MO · 2020001901
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 2020001901 (MO)
1155 W PARKVIEW ST STE 1C, Bolivar, MO 65613

Secondary Practice Location 1

Location 11 University of New Mexico, MSC 10-6000Albuquerque, NM 87131 · Phone (720) 585-4947

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

Seong-wook Seo 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 ID5799091245
PECOS Enrollment IDI20200930001895
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 14

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.

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.
386 services180 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
136 services97 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.
117 services117 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.
48 services44 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
32 services21 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
30 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
1155 W PARKVIEW ST STE 1C
BOLIVAR, MO 65613
Nurse Practitioner (Family)
1155 W PARKVIEW ST STE 1C
BOLIVAR, MO 65613

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 Seong-wook Seo's NPI number?

The NPI number for Seong-wook Seo is 1104213180. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Seong-wook Seo located?

Seong-wook Seo practices at 1155 W Parkview St Ste 1C, Bolivar, MO 65613. The listed phone number is (417) 326-7246.

What is Seong-wook Seo's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Seong-wook Seo enrolled in Medicare?

Yes. Seong-wook Seo 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 Seong-wook Seo accept?

Health plans from Medica and UnitedHealthcare list Seong-wook Seo 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 Seong-wook Seo affiliated with any hospitals?

According to CMS data, Seong-wook Seo is affiliated with Mercy Hospital Springfield and Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Seong-wook Seo was last updated on April 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.