SETH ANDREW PHILLIPS D.O.
NPI 1215277801
Orthopaedic Surgery in Toledo, OH

Q: What is Seth Phillips's NPI number?

The NPI number for Seth Phillips is 1215277801. It was assigned to this individual provider in the NPPES registry on February 19, 2013.

Q: What is Seth Phillips's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Seth Phillips was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 February 19, 2013PECOS EnrolledAccepts Medicare Assignment

2409 CHERRY ST STE 10, TOLEDO, OH 43608(419) 251-6784(419) 251-6787 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2026, Aug 13, 2019, Aug 2, 2018 and 2 more (5 updates tracked since 2018).

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About Seth Andrew Phillips D.o. NPPES

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

SETH ANDREW PHILLIPS D.O. (NPI 1215277801) is an individual orthopaedic surgery provider in Toledo, Ohio, licensed in Ohio (34.013950) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1215277801

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameSETH ANDREW PHILLIPSCredential: D.O.

Location Address2409 CHERRY ST STE 10Toledo, OH 43608-2625

Mailing Address2409 Cherry St Ste 10Toledo, OH 43608-2625

Phone(419) 251-6784

Fax(419) 251-6787

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 19, 2013

Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1215277801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in OH · 34.013950✔ Licensed in KY · TP753

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 34.013950 (OH)

2409 CHERRY ST STE 10, Toledo, OH 43608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Seth Andrew Phillips D.o. 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 ID5294081873

PECOS Enrollment IDI20190917002970

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 4

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.

57 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services47 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.

23 services23 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360156

Location715 South Taft AvenueFremont, OH 43420 · Sandusky County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 7

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

ZACHARY WILLIAM FULTON DO

Orthopaedic Surgery