SETH STEARLEY MD
NPI 1114020088
Emergency Medicine in Lexington, KY

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST RM M-53, LEXINGTON, KY 40536(859) 323-5908 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seth Stearley Md NPPES

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

SETH STEARLEY MD (NPI 1114020088) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (R0889) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Indiana University School Of Medicine (2004).

NPPES Registry Identity

NPI1114020088
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSETH STEARLEYCredential: MD
Location Address800 ROSE ST RM M-53Lexington, KY 40536-0298
Mailing Address800 Rose St Rm M-53Lexington, KY 40536-0298 · (859) 323-5908
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2004
Enumeration DateSeptember 6, 2006
Last NPPES UpdateNovember 13, 2007
NPI 1114020088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in KY · R0889
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
800 ROSE ST RM M-53, Lexington, KY 40536

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 Stearley 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 ID2264446830
PECOS Enrollment IDI20060202000787
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
112 services112 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services66 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536

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 Stearley's NPI number?

The NPI number for Seth Stearley is 1114020088. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Seth Stearley located?

Seth Stearley practices at 800 Rose St Rm M-53, Lexington, KY 40536. The listed phone number is (859) 323-5908.

What is Seth Stearley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Seth Stearley enrolled in Medicare?

Yes. Seth Stearley 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.

Is Seth Stearley affiliated with any hospitals?

According to CMS data, Seth Stearley is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Seth Stearley was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.