SETH BLUMBERG MD PHD
NPI 1255595443
Hospitalist in San Francisco, CA

Active since July 16, 2008PECOS EnrolledAccepts Medicare Assignment
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143(415) 750-4993(415) 750-8156 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2022, Jun 23, 2017 (2 updates tracked since 2017).

About Seth Blumberg Md Phd NPPES

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

SETH BLUMBERG MD PHD (NPI 1255595443) is an individual hospitalist provider in San Francisco, California, licensed in California (A112063) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2008).

NPPES Registry Identity

NPI1255595443
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSETH BLUMBERGCredential: MD PHD
Location Address505 PARNASSUS AVESan Francisco, CA 94143
Mailing Address505 Parnassus AveSan Francisco, CA 94143 · (415) 750-4993 · Fax (415) 750-8156
Fax(415) 750-8156
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2008
Enumeration DateJuly 16, 2008
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
NPI 1255595443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A112063
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License AFE112063 (CA)
505 PARNASSUS AVE, San Francisco, CA 94143

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 Blumberg Md Phd 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 ID5395014401
PECOS Enrollment IDI20200401000194
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 5

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.

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.
75 services34 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.
49 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 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.
21 services21 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

Nurse Practitioner (Neonatal)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Hospitalist
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine (Geriatric Medicine)
505 PARNASSUS AVE, 15 LONG
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Nurse Anesthetist, Certified Registered
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143

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 Blumberg's NPI number?

The NPI number for Seth Blumberg is 1255595443. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Seth Blumberg located?

Seth Blumberg practices at 505 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (415) 750-4993.

What is Seth Blumberg's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Seth Blumberg enrolled in Medicare?

Yes. Seth Blumberg 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.

When was this NPI record last updated?

The NPPES record for Seth Blumberg was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.