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SETH SAMUEL LEOPOLD
NPI 1225113038
Orthopaedic Surgery in Bellevue, WA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1700 116TH AVE NE, BELLEVUE, WA 98004(425) 646-7777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Seth Samuel Leopold NPPES

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

SETH SAMUEL LEOPOLD (NPI 1225113038) is an individual orthopaedic surgery provider in Bellevue, Washington, licensed in Washington (MD00041459) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (1993).

NPPES Registry Identity

NPI1225113038
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSETH SAMUEL LEOPOLD
Location Address1700 116TH AVE NEBellevue, WA 98004-3022
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Phone(425) 646-7777
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1993
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225113038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WA · MD00041459
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.
1700 116TH AVE NE, Bellevue, WA 98004
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Other Identifiers 4

Medicaid8320442WA
Medicare ID-Type UnspecifiedAB28986
Other296150Internal Id-motor Vehicle Id
Medicare UPING89847

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Samuel Leopold 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 ID5395871230
PECOS Enrollment IDI20100330000553
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 3

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.
17 services17 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.
14 services14 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

EUGENE YANG MD
Internal Medicine (Cardiovascular Disease)
1700 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 646-7777
DR. ALEC JAY MOORMAN MD
Internal Medicine (Cardiovascular Disease)
1700 116TH AVE NE
BELLEVUE, WA 98004
King County (206) 680-0571

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 Leopold's NPI number?

The NPI number for Seth Leopold is 1225113038. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Seth Leopold located?

Seth Leopold practices at 1700 116th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 646-7777.

What is Seth Leopold's specialty?

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

Is Seth Leopold enrolled in Medicare?

Yes. Seth Leopold 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.

What insurance does Seth Leopold accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Seth Leopold 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.

When was this NPI record last updated?

The NPPES record for Seth Leopold was last updated on July 8, 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.