DR. SAMUEL K SETO M.D.
NPI 1144300542
Ophthalmology in Edmonds, WA

Q: What is Samuel Seto's NPI number?

The NPI number for Samuel Seto is 1144300542. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Samuel Seto's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Seto was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment

84.46/100

CMS Quality Rating

21911 76TH AVE W, SUITE 101, EDMONDS, WA 98026(425) 774-7723(425) 778-2788 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Samuel K Seto M.d. NPPES

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

DR. SAMUEL K SETO M.D. (NPI 1144300542) is an individual ophthalmology provider in Edmonds, Washington, licensed in Washington (MD00032689) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1991).

NPPES Registry Identity

NPI1144300542

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SAMUEL K SETOCredential: M.D.

Location Address21911 76TH AVE W, SUITE 101Edmonds, WA 98026-7903

Mailing Address21911 76th Ave W, Suite 101Edmonds, WA 98026-7903 · (425) 774-7723 · Fax (425) 778-2788

Phone(425) 774-7723

Fax(425) 778-2788

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1991

Enumeration DateOctober 17, 2006

Last NPPES UpdateNovember 14, 2023

NPPES CertifiedNovember 14, 2023

✔ NPI 1144300542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WA · MD00032689

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

21911 76TH AVE W, Edmonds, WA 98026

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Other Identifiers 4

Other019394001WA · Dmerc Provider Number

Other101465WA · L&i Provider Number

Medicaid1094564WA

OtherSE5264WA · Regence Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Dr. Samuel K Seto 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 ID5991695058

PECOS Enrollment IDI20120127000243

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.

464 services321 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.

249 services141 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

144 services141 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

99 services90 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

91 services85 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

85 services80 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.

83 services83 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

58 services36 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

38 services26 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

36 services33 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

29 services27 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

28 services21 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500026

Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

84.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.08

Improvement Activities

Cost

49.44

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.

JOE M SKARIAH DO

Family Medicine

21911 76TH AVE W, #110
EDMONDS, WA 98026

Snohomish County (425) 640-4950

DR. EMMY NAKASU DAVISON M.D.

Family Medicine

21911 76TH AVE W, SUITE 110
EDMONDS, WA 98026

Snohomish County (425) 640-4950

EMILY NEL PETERSON MD

Family Medicine

21911 76TH AVE W, SUITE 110
EDMONDS, WA 98026

Snohomish County (425) 640-4950

CHELSEA MURPHY MS, RD

Dietitian, Registered

21911 76TH AVE W, SUITE 200
EDMONDS, WA 98026

Snohomish County (425) 778-2220

DR. JUDITH BABCOCK M.D.

Family Medicine

21911 76TH AVE W, #110
EDMONDS, WA 98026

Snohomish County (425) 640-4950

DR. MAURENE P CRONYN M.D.

Family Medicine

21911 76TH AVE W, #110
EDMONDS, WA 98026

Snohomish County (425) 640-4950

ANGELICA ROSE SUP O.D.

Optometrist

21911 76TH AVE W, SUITE 101
EDMONDS, WA 98026

Snohomish County (425) 774-7723

DR. STEPHEN P BEGERT M.D.

Specialist

21911 76TH AVE W, #110
EDMONDS, WA 98026

Snohomish County (425) 640-4950

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 Samuel Seto's NPI number?

The NPI number for Samuel Seto is 1144300542. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Samuel Seto located?

Samuel Seto practices at 21911 76th Ave W Suite 101, Edmonds, WA 98026. The listed phone number is (425) 774-7723.

What is Samuel Seto's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Samuel Seto enrolled in Medicare?

Yes. Samuel Seto 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 Samuel Seto accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samuel Seto 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 Samuel Seto affiliated with any hospitals?

According to CMS data, Samuel Seto is affiliated with Swedish Edmonds Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Seto was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.