TAKESHI SETO M.D.
NPI 1154323160
Internal Medicine in Ottawa, KS

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
85.25/100
CMS Quality Rating
1428 S MAIN ST, SUITE 4, OTTAWA, KS 66067(785) 242-4465(785) 242-0211 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Takeshi Seto M.d. NPPES

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

TAKESHI SETO M.D. (NPI 1154323160) is an individual internal medicine provider in Ottawa, Kansas, licensed in Kansas (0424612) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ottawa, and is a graduate of Creighton University School Of Medicine (1987).

NPPES Registry Identity

NPI1154323160
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTAKESHI SETOCredential: M.D.
Location Address1428 S MAIN ST, SUITE 4Ottawa, KS 66067-3543
Mailing Address1428 S Main St, Suite 4Ottawa, KS 66067-3543 · (785) 242-4465 · Fax (785) 242-0211
Fax(785) 242-0211
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1987
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 12, 2013
NPI 1154323160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KS · 0424612
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 0424612 (KS)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 0424612 (KS)
1428 S MAIN ST, Ottawa, KS 66067

Other Identifiers 2

Medicaid100155660FKS
Medicare PIN014010042KS

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

Takeshi 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 ID9133294085
PECOS Enrollment IDI20100618000115
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.

Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
69 services68 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.
32 services13 patients
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.
19 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Ottawa

Acute Care Hospitals · Ottawa, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170014
Location1301 S Main StreetOttawa, KS 66067 · Franklin County
Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Anderson County Hospital

Critical Access Hospitals · Garnett, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171316
Location421 S MapleGarnett, KS 66032 · Anderson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66067 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

85.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.9
Promoting Interoperability100
Improvement Activities40
Cost65.95

Referred Medical Equipment & Supplies CMS DME claims 38

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers36 claims88 services$6.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims20 services$1.13 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers104 claims189 services$1.35 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
3 suppliers26 claims26 services$15.11 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers45 claims45 services$70.04 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers47 claims135 services$28.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Rural Health)
1428 S MAIN ST, SUITE 4
OTTAWA, KS 66067
Internal Medicine
1428 S MAIN ST
OTTAWA, KS 66067
Nurse Practitioner (Pediatrics)
1428 S MAIN ST
OTTAWA, KS 66067

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 Takeshi Seto's NPI number?

The NPI number for Takeshi Seto is 1154323160. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Takeshi Seto located?

Takeshi Seto practices at 1428 S Main St Suite 4, Ottawa, KS 66067. The listed phone number is (785) 242-4465.

What is Takeshi Seto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Takeshi Seto enrolled in Medicare?

Yes. Takeshi 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 Takeshi Seto accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Takeshi 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 Takeshi Seto affiliated with any hospitals?

According to CMS data, Takeshi Seto is affiliated with Adventhealth Ottawa, Olathe Medical Center, Adventhealth Shawnee Mission and Anderson County Hospital.

When was this NPI record last updated?

The NPPES record for Takeshi Seto was last updated on August 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.