SETH THOMAS DO
NPI 1104329952
Urology in Orange, CA

Active since March 16, 2018PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S, ORANGE, CA 92868(714) 456-7890 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, Feb 28, 2025, May 18, 2020 and 1 more (4 updates tracked since 2018).

About Seth Thomas Do NPPES

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

SETH THOMAS DO (NPI 1104329952) is an individual urology provider in Orange, California, licensed in California (20A23848) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104329952
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSETH THOMASCredential: DO
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address101 The City Dr SOrange, CA 92868-3201 · (714) 456-7890
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 16, 2018
Last NPPES UpdateJune 13, 20254 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1104329952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · 20A23848
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5151014512 (MI)
101 THE CITY DR S, Orange, CA 92868

Secondary Practice Locations 3

Location 1200 Mullins DrLebanon, OR 97355-3983 · Phone (541) 259-0200
Location 21215 E Michigan AveLansing, MI 48912-1811 · Phone (517) 364-2766
Location 31200 E Michigan Ave Ste 202BLansing, MI 48912 · Phone (517) 363-4522

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seth Thomas Do 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 ID2961913231
PECOS Enrollment IDI20250613002067, I20260622002501
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Seth Thomas reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 85 clinicians in this Medicare group
Rural Health
1014 E WASHINGTON ST
Greenville, MI 48838
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group
Gastroenterology
3565 S STATE RD
Ionia, MI 48846
  • Reassigned Medicare billing, Michigan enrollment
  • 317 clinicians in this Medicare group
Urology
1140 E MICHIGAN AVE STE 300
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
Multi-Specialty
901 S OAKLAND ST
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • 114 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868

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 Thomas's NPI number?

The NPI number for Seth Thomas is 1104329952. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Where is Seth Thomas located?

Seth Thomas practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-7890.

What is Seth Thomas's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Seth Thomas enrolled in Medicare?

Yes. Seth Thomas 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.

Which organizations bill Medicare for Seth Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Thomas reassigns Medicare benefits to 5 organizations: Uci Department Of Urology (Orange, CA), Sparrow Carson Hospital (Greenville, MI), Sparrow Ionia Hospital (Ionia, MI), Edward W Sparrow Hospital Association (Lansing, MI) and Sparrow Clinton Hospital (Saint Johns, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seth Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Thomas accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Seth Thomas 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 Seth Thomas was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.