1. Home
  2. Directory
  3. New Jersey
  4. Englewood
  5. Obstetrics Gynecology
  6. NPI Profile

CARMELA SEYMOUR M.D.
NPI 1164543120
Obstetrics & Gynecology in Englewood, NJ

Active since April 03, 2007Opted out of Medicare · through Jan 1, 2028
420 GRAND AVE, ENGLEWOOD, NJ 07631(201) 871-4040(201) 871-7326 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carmela Seymour M.d. NPPES

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

CARMELA SEYMOUR M.D. (NPI 1164543120) is an individual obstetrics & gynecology provider in Englewood, New Jersey, licensed in New Jersey (MA059188) and active in the NPI registry since April 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164543120
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCARMELA SEYMOURCredential: M.D.
Location Address420 GRAND AVEEnglewood, NJ 07631-4152
Mailing Address420 Grand AveEnglewood, NJ 07631-4152 · (201) 871-4040 · Fax (201) 871-7326
Phone(201) 871-4040
Fax(201) 871-7326
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1164543120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · MA059188
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
420 GRAND AVE, Englewood, NJ 07631
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINF64519NJ
OtherBP381NJ · Oxford
Other1543106NJ · United Healthcare
OtherJ29013NJ · Healthnet
Other420502NJ · Cigna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carmela Seymour M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%935 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
79%165 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%165 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
39%1,146 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%1,146 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
66%1,146 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
65%1,146 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

THE GASTROENTEROLOGY GROUP OF NORTHERN NEW JERSEY,LLC
Internal Medicine (Gastroenterology)
420 GRAND AVE, SUITE 101
ENGLEWOOD, NJ 07631
Bergen County (201) 569-7044
CHRISTOPHER A. ENGLERT M.D.
Obstetrics & Gynecology
420 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 871-4040
DR. ELAINA BERD-VERGIER D.D.S.
Dentist (Prosthodontics)
420 GRAND AVE, SUITE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 568-9098
MR. IVAN A FRIEDRICH M.D.
Internal Medicine (Gastroenterology)
420 GRAND AVE, SUITE 101
ENGLEWOOD, NJ 07631
Bergen County (201) 569-7044
DAVID G. BUTLER M.D.
Obstetrics & Gynecology
420 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 871-4040
ANNA SHOSHILOS D.O.
Obstetrics & Gynecology
420 GRAND AVE, SUITE: 202
ENGLEWOOD, NJ 07631
Bergen County (201) 871-4040
DRS FRIEDRICH RUBIN PANELLA AND SAPIENZA, LLP
Specialist
420 GRAND AVE, SUITE 101
ENGLEWOOD, NJ 07631
Bergen County (201) 569-7044
DR. IRINA KAPLOUNOVA M.D.
Internal Medicine (Gastroenterology)
420 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 569-7044

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 Carmela Seymour's NPI number?

The NPI number for Carmela Seymour is 1164543120. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Carmela Seymour located?

Carmela Seymour practices at 420 Grand Ave, Englewood, NJ 07631. The listed phone number is (201) 871-4040.

What is Carmela Seymour's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carmela Seymour enrolled in Medicare?

No. Carmela Seymour has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carmela Seymour was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.