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SEONG GON BAE M.D.
NPI 1114122769
Surgery in Lake Mary, FL

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
4106 W LAKE MARY BLVD STE 330, LAKE MARY, FL 32746(407) 833-9195 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2023, Mar 1, 2022, Feb 10, 2022 and 1 more (4 updates tracked since 2016).

About Seong Gon Bae M.d. NPPES

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

SEONG GON BAE M.D. (NPI 1114122769) is an individual surgery provider in Lake Mary, Florida, licensed in Florida (ME128524) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Van Nuys, and is a graduate of University Of South Florida College Of Medicine (2005).

NPPES Registry Identity

NPI1114122769
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSEONG GON BAECredential: M.D.
Location Address4106 W LAKE MARY BLVD STE 330Lake Mary, FL 32746-3383
Mailing Address4106 W Lake Mary Blvd Ste 330Lake Mary, FL 32746-3383 · (407) 833-9195
Phone(407) 833-9195
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2005
Enumeration DateJune 15, 2007
Last NPPES UpdateFebruary 6, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
✔ NPI 1114122769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in FL · ME128524✔ Licensed in CA · A123341
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4106 W LAKE MARY BLVD STE 330, Lake Mary, FL 32746
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Other Names 1

Other Name (5)Samuel Bae M.d.

Secondary Practice Location 1

Location 115211 Vanowen St Unit 200Van Nuys, CA 91405-3606 · Phone (818) 782-3255 · Fax (818) 782-7026

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 Gon Bae 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 ID6800049719
PECOS Enrollment IDI20121228000420
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 8

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
123 services117 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.
82 services51 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.
71 services52 patients
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.
47 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

DR. ERIC DAVID RIDEMAN D.O.
Surgery
4106 W LAKE MARY BLVD STE 330
LAKE MARY, FL 32746
Seminole County (407) 833-9195
CENTRAL FLORIDA BONE AND JOINT INSTITUTE, PLLC
Orthopaedic Surgery
4106 W LAKE MARY BLVD STE 330
LAKE MARY, FL 32746
Seminole County (386) 775-2012

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 Bae's NPI number?

The NPI number for Seong Bae is 1114122769. It was assigned to this individual provider in the NPPES registry on June 15, 2007. The provider is also known as Samuel Bae M.D..

Where is Seong Bae located?

Seong Bae practices at 4106 W Lake Mary Blvd Ste 330, Lake Mary, FL 32746. The listed phone number is (407) 833-9195.

What is Seong Bae's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Seong Bae enrolled in Medicare?

Yes. Seong Bae 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.

When was this NPI record last updated?

The NPPES record for Seong Bae was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.