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PHILIP SCOTT SEIBEL M.D.
NPI 1164455333
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charlotte, NC

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
301 HAWTHORNE LN STE 200, CHARLOTTE, NC 28204(704) 316-5100 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2019, Mar 17, 2018, Jun 6, 2017 and 1 more (4 updates tracked since 2017).

About Philip Scott Seibel M.d. NPPES

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

PHILIP SCOTT SEIBEL M.D. (NPI 1164455333) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Charlotte, North Carolina, licensed in North Carolina (2017-00517) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lawnwood Hospital, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1164455333
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NamePHILIP SCOTT SEIBELCredential: M.D.
Location Address301 HAWTHORNE LN STE 200Charlotte, NC 28204-2467
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-5100 · Fax (704) 316-5101
Phone(704) 316-5100
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1989
Enumeration DateJuly 9, 2006
Last NPPES UpdateFebruary 5, 20194 updates tracked since enumeration
✔ NPI 1164455333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in NC · 2017-00517✔ Licensed in SC · 37609
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 2017-00517 (NC)
301 HAWTHORNE LN STE 200, Charlotte, NC 28204
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Secondary Practice Location 1

Location 1252 S 4th St Fl 2Lebanon, PA 17042-6111 · Phone (717) 270-3751 · Fax (717) 270-3754

Other Identifiers 1

Medicaid0017184560002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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

Philip Scott Seibel 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 ID4183681653
PECOS Enrollment IDI20210527002712
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

2

Medicare enrollment records show Philip Seibel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan Inc
451 mi
Psychiatry
4200 MONUMENT AVE
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1144272733 (215) 456-7000
Lawnwood Cardiovascular Surgery LLC
537 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 NEBRASKA AVE STE 201
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 58 clinicians in this Medicare group
NPI 1386724169 (772) 465-8100

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

Areas of Expertise CMS Part B claims 5

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.

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.
27 services27 patients
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.
18 services16 patients
Insertion of heart rhythm monitor under skin 33285
The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.
14 services14 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

NOVANT MEDICAL GROUP, INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
301 HAWTHORNE LN STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-7606
TIMOTHY MICHAEL BRAND MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
301 HAWTHORNE LN STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5100
SUSAN ANN FRIED
Physician Assistant
301 HAWTHORNE LN STE 200
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-5100

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 Philip Seibel's NPI number?

The NPI number for Philip Seibel is 1164455333. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Philip Seibel located?

Philip Seibel practices at 301 Hawthorne Ln Ste 200, Charlotte, NC 28204. The listed phone number is (704) 316-5100.

What is Philip Seibel's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Philip Seibel enrolled in Medicare?

Yes. Philip Seibel 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 Philip Seibel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Seibel reassigns Medicare benefits to 2 organizations: Einstein Practice Plan Inc (Philadelphia, PA) and Lawnwood Cardiovascular Surgery LLC (Fort Pierce, FL). 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 Philip Seibel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Seibel accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Philip Seibel 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 Philip Seibel affiliated with any hospitals?

According to CMS data, Philip Seibel is affiliated with Hca Florida Lawnwood Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Seibel was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.