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SETH P FADER DO
NPI 1225190978
Family Medicine in Redmond, WA

Active since December 15, 2006Opted out of Medicare · through Jan 28, 2027
2513 152ND AVE NE, REDMOND, WA 98052(425) 301-8190(425) 300-1081 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Seth P Fader Do NPPES

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

SETH P FADER DO (NPI 1225190978) is an individual family medicine provider in Redmond, Washington, licensed in Washington (OP00002004) and active in the NPI registry since December 2006. He has opted out of Medicare through January 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225190978
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSETH P FADERCredential: DO
Location Address2513 152ND AVE NERedmond, WA 98052-5574
Mailing AddressPo Box 1281Bellevue, WA 98009-1281 · (425) 301-8190 · Fax (425) 300-1081
Phone(425) 301-8190
Fax(425) 300-1081
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
✔ NPI 1225190978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP00002004
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2513 152ND AVE NE, Redmond, WA 98052
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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

ⓘ

Opted out of Medicare

Seth P Fader Do 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 28, 2025 through January 28, 2027.

Opt-Out Effective DateJanuary 28, 2025
Opt-Out In Effect ThroughJanuary 28, 2027Opt-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.

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 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.
128 services75 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.
68 services54 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
57 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98052 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
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES 3

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

DR. JARED BYWATER DC
Chiropractor
2513 152ND AVE NE
REDMOND, WA 98052
King County (435) 671-7888
COURTNEY MICHELE PORTER DC, MS
Chiropractor
2513 152ND AVE NE
REDMOND, WA 98052
King County (425) 786-1415
FADER PRIMARY CARE, PLLC
Family Medicine
2513 152ND AVE NE
REDMOND, WA 98052
King County (425) 301-8190

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 Fader's NPI number?

The NPI number for Seth Fader is 1225190978. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Seth Fader located?

Seth Fader practices at 2513 152nd Ave NE, Redmond, WA 98052. The listed phone number is (425) 301-8190.

What is Seth Fader's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Seth Fader enrolled in Medicare?

No. Seth Fader has opted out of Medicare through January 28, 2027. 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.

What insurance does Seth Fader accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Seth Fader 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 Fader was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.