PAULA S SETH MD
NPI 1235119637
Internal Medicine - Cardiovascular Disease in Newtown, PA

Q: What is Paula Seth's NPI number?

The NPI number for Paula Seth is 1235119637. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Paula Seth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Paula Seth was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment

104 PHEASANT RUN, SUITE 128, NEWTOWN, PA 18940(215) 860-3344(215) 860-8950 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Paula S Seth Md NPPES

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

PAULA S SETH MD (NPI 1235119637) is an individual cardiovascular disease provider in Newtown, Pennsylvania, licensed in Pennsylvania (MD429438) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Medical College Of Pennsylvania (1998).

NPPES Registry Identity

NPI1235119637

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NamePAULA S SETHCredential: MD

Location Address104 PHEASANT RUN, SUITE 128Newtown, PA 18940-3439

Mailing Address104 Pheasant Run, Suite 128Newtown, PA 18940-3439 · (215) 860-3344 · Fax (215) 860-8950

Phone(215) 860-3344

Fax(215) 860-8950

Sole ProprietorNo

Medical School CMSMedical College Of PennsylvaniaGraduated 1998

Enumeration DateJanuary 20, 2006

Last NPPES UpdateMay 20, 2014

✔ NPI 1235119637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in PA · MD429438✔ Licensed in NJ · 25MA07695500

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

104 PHEASANT RUN, Newtown, PA 18940

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Other Identifiers 7

Other223505477Tin

Medicare PIN101858PA

Medicaid0030848NJ

Medicare PIN081137NJ

Medicare UPINI11171

Other46-2009036Tin

Other232571699Tin

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paula S Seth Md 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 ID4082686969

PECOS Enrollment IDI20040811000283, I20060727000060

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

Medicare enrollment records show Paula Seth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Health Care Associates Of New Jersey, PC

1.6 mi

Obstetrics & Gynecology

1203 LANGHORNE NEWTOWN RD STE 226
Langhorne, PA 19047

Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
Also billed through NPI 1124122387 (New Jersey)
171 clinicians in this Medicare group

NPI 1538728357 (610) 902-1730

Clinical Care Associates Of The University Of Pennsylvania Health Syst

22 mi

Hospitalist

150 MONUMENT RD FL 4
Bala Cynwyd, PA 19004

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
983 clinicians in this Medicare group

NPI 1790737468 (610) 239-2871

University Of Penn-Medical Group

24 mi

Surgical Oncology

3400 CIVIC CENTER BLVD, 3 WEST PAVILLION
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
364 clinicians in this Medicare group

NPI 1871981985 (215) 615-5858

Professional Service Fund Of Deborah Heart & Lung Center

25 mi

Specialist

200 TRENTON RD
Browns Mills, NJ 08015

Reassigned Medicare billing, New Jersey enrollment
222 clinicians in this Medicare group

NPI 1407803596 (609) 893-1200

Deborah Cardiovascular Group, P.C.

25 mi

Specialist

200 TRENTON RD
Browns Mills, NJ 08015

Reassigned Medicare billing, New Jersey enrollment
77 clinicians in this Medicare group

NPI 1821041732 (609) 893-1200

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 31

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.

599 services348 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

594 services428 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

494 services360 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

321 services319 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

300 services298 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

228 services56 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

174 services172 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

161 services160 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

86 services84 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.

83 services83 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

81 services34 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

68 services67 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

67 services64 patients

Heart muscle strain imaging 93356

63 services63 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

55 services54 patients

3d radiographic procedure 76376

52 services52 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

51 services51 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

48 services46 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

47 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

46 services20 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

41 services41 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

22 services22 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

21 services21 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

21 services21 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

20 services20 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.

14 services14 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.

14 services14 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services13 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

13 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390226

Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 20

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

DR. RANDY BRISTER MD

Pediatrics

104 PHEASANT RUN, NEWTOWN PAVILLION, SUITE 105
NEWTOWN, PA 18940

Bucks County (215) 968-6844

ELAINE C. FIDLER CRNP

Nurse Practitioner (Adult Health)

104 PHEASANT RUN, SUITE 128
NEWTOWN, PA 18940

Bucks County (215) 860-3344

IVY DEROSA D.O.

Dermatology

104 PHEASANT RUN, SUITE 123
NEWTOWN, PA 18940

Bucks County (215) 702-8600

DAVID M. SCHWARTZ O.D.

Optometrist

104 PHEASANT RUN, ST.114
NEWTOWN, PA 18940

Bucks County (267) 346-5337

BENJAMIN LAM DO

Plastic Surgery

104 PHEASANT RUN, SUITE 123
NEWTOWN, PA 18940

Bucks County (215) 702-8600

DENISE G MAX CRNP

Nurse Practitioner (Adult Health)

104 PHEASANT RUN, SUITE 128
NEWTOWN, PA 18940

Bucks County (215) 860-3344

ROBERT J SKALICKY DO

Plastic Surgery

104 PHEASANT RUN, SUITE123
NEWTOWN, PA 18940

Bucks County (215) 702-8600

SCOTT WALTER BURKE MD

Internal Medicine (Clinical Cardiac Electrophysiology)

104 PHEASANT RUN
NEWTOWN, PA 18940

Bucks County (215) 860-3344

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 Paula Seth's NPI number?

The NPI number for Paula Seth is 1235119637. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Paula Seth located?

Paula Seth practices at 104 Pheasant Run Suite 128, Newtown, PA 18940. The listed phone number is (215) 860-3344.

What is Paula Seth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paula Seth enrolled in Medicare?

Yes. Paula Seth 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.

Which organizations bill Medicare for Paula Seth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Seth reassigns Medicare benefits to 5 organizations: Clinical Health Care Associates Of New Jersey, PC (Langhorne, PA), Clinical Care Associates Of The University Of Pennsylvania Health Syst (Bala Cynwyd, PA), University Of Penn-Medical Group (Philadelphia, PA), Professional Service Fund Of Deborah Heart & Lung Center (Browns Mills, NJ) and Deborah Cardiovascular Group, P.C. (Browns Mills, NJ). 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 Paula Seth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Seth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Paula Seth 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.

Is Paula Seth affiliated with any hospitals?

According to CMS data, Paula Seth is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Paula Seth was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.