SETH C PERKINS MD
NPI 1265641344
Family Medicine in Lady Lake, FL

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
82.5/100
CMS Quality Rating
929 N HWY 441, STE 501, LADY LAKE, FL 32159(352) 753-6886(352) 373-6144 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Seth C Perkins Md NPPES

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

SETH C PERKINS MD (NPI 1265641344) is an individual family medicine provider in Lady Lake, Florida, licensed in Florida (ME107605) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2006).

NPPES Registry Identity

NPI1265641344
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSETH C PERKINSCredential: MD
Location Address929 N HWY 441, STE 501Lady Lake, FL 32159-3003
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 373-6338 · Fax (352) 373-6338
Fax(352) 373-6144
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2006
Enumeration DateMay 22, 2007
Last NPPES UpdateMarch 21, 2011
NPI 1265641344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME107605
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.
929 N HWY 441, Lady Lake, FL 32159

Other Identifiers 2

Medicare PINDM809ZFL
Medicare UPINDM809ZFL

Accepted 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 C Perkins 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 ID3870618358
PECOS Enrollment IDI20100921000932
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 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.
957 services476 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
467 services297 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
450 services292 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
448 services300 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
320 services224 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.
295 services221 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

82.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.9
Promoting Interoperability84
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%94 patients
Breast Cancer Screening
6%331 patients1/55-star benchmark: 93%
Cervical Cancer Screening
2%138 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%752 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
72%585 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
62%170 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%170 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,199 patients5/55-star benchmark: 100%
e-Prescribing
96%1,601 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
83%1,080 patients4/55-star benchmark: 100%
HIV Screening
0%395 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%1,432 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
27%1,245 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%1,580 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 1,427 patients
Patients screened: 88% · 1,427 patients
43%122 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%718 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%485 patients3/55-star benchmark: 91%
Support Electronic Referral Loops By Sending Health Information
48%329 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers44 claims130 services$6.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers21 claims29 services$1.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers16 claims96 services$1.75 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$210.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
929 N HWY 441, SUITE 302
LADY LAKE, FL 32159

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 Perkins's NPI number?

The NPI number for Seth Perkins is 1265641344. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Seth Perkins located?

Seth Perkins practices at 929 N Hwy 441 Ste 501, Lady Lake, FL 32159. The listed phone number is (352) 753-6886.

What is Seth Perkins's specialty?

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

Is Seth Perkins enrolled in Medicare?

Yes. Seth Perkins 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 Perkins accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Seth Perkins 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 Perkins was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.