DR. PHILIP SEO MD, MHS
NPI 1225084130
Internal Medicine - Rheumatology in Baltimore, MD

Active since May 25, 2006PECOS Enrolled
74.39/100
CMS Quality Rating
5501 HOPKINS BAYVIEW CIR, JHAAC ROOM 1B.1A, BALTIMORE, MD 21224(410) 550-6813 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Philip Seo Md, Mhs NPPES

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

DR. PHILIP SEO MD, MHS (NPI 1225084130) is an individual rheumatology provider in Baltimore, Maryland, licensed in Maryland (D56019) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1997).

NPPES Registry Identity

NPI1225084130
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. PHILIP SEOCredential: MD, MHS
Location Address5501 HOPKINS BAYVIEW CIR, JHAAC ROOM 1B.1ABaltimore, MD 21224-6821
Mailing AddressPo Box 64264Baltimore, MD 21264-4264 · (410) 550-2400
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1997
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 18, 2013
✔ NPI 1225084130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MD · D56019
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
5501 HOPKINS BAYVIEW CIR, Baltimore, MD 21224

Other Identifiers 3

Medicaid905500200MD
Medicare PINKR62J913MD
Medicare UPINH20786

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip Seo Md, Mhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739143553
PECOS Enrollment IDI20041112000035
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 Seo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
5501 HOPKINS BAYVIEW CIR, ROOM 1A20
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Hospitalist
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 338 clinicians in this Medicare group

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

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
61 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Specialist/Technologist, Pathology (Immunology)
5501 HOPKINS BAYVIEW CIR, ROOM 1A20, JH ASTHMA ALLERGY CENTER
BALTIMORE, MD 21224
Nurse Practitioner (Adult Health)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychiatry & Neurology (Neurology)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychologist (Clinical)
5501 HOPKINS BAYVIEW CIR, ROOM 4B.74
BALTIMORE, MD 21224
Internal Medicine
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, 4TH FLOOR
BALTIMORE, MD 21224
Nurse Practitioner (Family)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, ASTHMA AND ALLERGY BUILDING 4TH FLOOR
BALTIMORE, MD 21224

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 Seo's NPI number?

The NPI number for Philip Seo is 1225084130. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Philip Seo located?

Philip Seo practices at 5501 Hopkins Bayview Cir Jhaac Room 1b.1a, Baltimore, MD 21224. The listed phone number is (410) 550-6813.

What is Philip Seo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Philip Seo enrolled in Medicare?

Yes. Philip Seo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Philip Seo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Seo reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). 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 Seo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Seo was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.