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JAMES SEIPP DO
NPI 1255861647
Internal Medicine in Malone, NY

Active since June 18, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2023, Oct 26, 2022, Jul 12, 2022 and 2 more (5 updates tracked since 2017).

About James Seipp Do NPPES

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

JAMES SEIPP DO (NPI 1255861647) is an individual internal medicine provider in Malone, New York, licensed in New York (314553) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1255861647
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES SEIPPCredential: DO
Location Address133 PARK STMalone, NY 12953-1244
Mailing Address133 Park StMalone, NY 12953-1244 · (518) 483-3000
Phone(518) 483-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 18, 2017
Last NPPES UpdateFebruary 17, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1255861647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 314553✔ Licensed in IL · 125071146✔ Licensed in VA · 0102206348
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 036.151100 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 0102206348 (VA)
133 PARK ST, Malone, NY 12953
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11001 Sam Perry BlvdFredericksburg, VA 22401-4453 · Phone (540) 741-4350
Location 25145 N California AveChicago, IL 60625-3661 · Phone (773) 878-8200
Location 3105 Marys AveKingston, NY 12401-5829 · Phone (845) 334-4722
Location 42800 Godwin Blvd Fl 1Suffolk, VA 23434-8038 · Phone (757) 934-4821

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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

James Seipp Do 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 ID4587086194
PECOS Enrollment IDI20200626000469, I20201007002881, I20201008000601, I20231114001574, I20250801001193
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.
416 services179 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.
116 services116 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.
90 services37 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.
88 services88 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.
86 services85 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Spotsylvania Regional Medical Center

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490141
Location4600 Spotsylvania ParkwayFredericksburg, VA 22408 · Spotsylvania County
Emergency services Birthing friendly

Stonesprings Hospital Center

Acute Care Hospitals · Dulles, VA
OwnershipProprietary
CMS Certification Number490145
Location24440 Stone Springs BoulevardDulles, VA 20166 · Loudoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12953 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

BERNARD GELBARD MD
Anesthesiology
133 PARK ST
MALONE, NY 12953
Franklin County (518) 483-3000
BECCA ELIZABETH BROOKS
Nurse Practitioner
133 PARK ST
MALONE, NY 12953
Franklin County (518) 483-3000
NES MEDICAL SERVICES OF NEW YORK, PC
Emergency Medicine
133 PARK ST
MALONE, NY 12953
Franklin County (518) 483-3000
DR. DAVID HAUERSTOCK M.D.
Radiology (Radiation Oncology)
133 PARK ST
MALONE, NY 12953
Franklin County (518) 483-3000
DR. TERRENCE PATRICK O'CONNOR M.D.
Emergency Medicine
133 PARK ST
MALONE, NY 12953
Franklin County (518) 483-2000
SHANELLE MARIE SMITH NP
Nurse Practitioner
133 PARK ST, CARDIOLOGY DEPARTMENT
MALONE, NY 12953
Franklin County (518) 481-2545
ALICE HYDE MEDICAL CENTER
General Acute Care Hospital (Critical Access)
133 PARK ST
MALONE, NY 12953
Franklin County (518) 481-2210
HALLIE LYNN GARLAND RN, CDE
Registered Nurse
133 PARK ST, ALICE HYDE MEDICAL CENTER
MALONE, NY 12953
Franklin County (518) 481-2427

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 James Seipp's NPI number?

The NPI number for James Seipp is 1255861647. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is James Seipp located?

James Seipp practices at 133 Park St, Malone, NY 12953. The listed phone number is (518) 483-3000.

What is James Seipp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Seipp enrolled in Medicare?

Yes. James Seipp 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 James Seipp accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list James Seipp 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 James Seipp affiliated with any hospitals?

According to CMS data, James Seipp is affiliated with Ssm Health St Mary's Hospital -Centralia, Ascension Seton Medical Center Austin, Vcu Health Tappahannock Hospital, Spotsylvania Regional Medical Center and Stonesprings Hospital Center.

When was this NPI record last updated?

The NPPES record for James Seipp was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.