DR. SETH ASHLEY COHEN M.D.
NPI 1164670287
Urology - Urogynecology and Reconstructive Pelvic Surgery in Irvine, CA

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
1000 FIVEPOINT, IRVINE, CA 92618(949) 671-4673(949) 671-4329 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2022, Dec 4, 2020, Apr 15, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Seth Ashley Cohen M.d. NPPES

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

DR. SETH ASHLEY COHEN M.D. (NPI 1164670287) is an individual urogynecology and reconstructive pelvic surgery provider in Irvine, California, licensed in California (A106006) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Northwestern University Feinberg Medical School (2007).

NPPES Registry Identity

NPI1164670287
Entity TypeIndividualMale
Primary Taxonomy2088F0040X
Provider Legal NameDR. SETH ASHLEY COHENCredential: M.D.
Location Address1000 FIVEPOINTIrvine, CA 92618-2377
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Fax(949) 671-4329
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2007
Enumeration DateSeptember 3, 2008
Last NPPES UpdateMay 30, 20245 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
NPI 1164670287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
License Licensed in CA · A106006
Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedUrologyTaxonomy 208800000X · License A106006 (CA)
1000 FIVEPOINT, Irvine, CA 92618

Secondary Practice Locations 2

Location 11500 Duarte RdDuarte, CA 91010-3012 · Phone (626) 256-4673
Location 21601 Avocado AveNewport Beach, CA 92660-7798 · Phone (949) 763-2204 · Fax (949) 536-8036

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. Seth Ashley Cohen 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 ID8022315589
PECOS Enrollment IDI20160328002058
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 18

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 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.
528 services305 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
230 services207 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.
185 services185 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
126 services123 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.
83 services70 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.
55 services36 patients

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.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers30 claims7,450 services$1.47 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 20

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

Anesthesiology
1000 FIVEPOINT
IRVINE, CA 92618
Surgery (Surgical Oncology)
1000 FIVEPOINT, BLDG A
IRVINE, CA 92618
Nurse Practitioner (Acute Care)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Vascular & Interventional Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Diagnostic Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Nurse Anesthetist, Certified Registered
1000 FIVEPOINT
IRVINE, CA 92618

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 Seth Cohen's NPI number?

The NPI number for Seth Cohen is 1164670287. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Seth Cohen located?

Seth Cohen practices at 1000 Fivepoint, Irvine, CA 92618. The listed phone number is (949) 671-4673.

What is Seth Cohen's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Seth Cohen enrolled in Medicare?

Yes. Seth Cohen 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 Seth Cohen was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.