DR. SETH JAMES TRIFIRO M.D.
NPI 1265758544
Internal Medicine - Cardiovascular Disease in Jacksonville, NC

Active since April 12, 2010PECOS EnrolledAccepts Medicare Assignment
47.59/100
CMS Quality Rating
4275 WESTERN BLVD, JACKSONVILLE, NC 28546(910) 938-3099(910) 938-3243 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Seth James Trifiro M.d. NPPES

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

DR. SETH JAMES TRIFIRO M.D. (NPI 1265758544) is an individual cardiovascular disease provider in Jacksonville, North Carolina, licensed in North Carolina (2019-00521) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of University Of South Florida College Of Medicine (2010).

NPPES Registry Identity

NPI1265758544
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SETH JAMES TRIFIROCredential: M.D.
Location Address4275 WESTERN BLVDJacksonville, NC 28546-1100
Mailing AddressPo Box 68Pollocksville, NC 28573-0068 · (252) 635-3906 · Fax (252) 224-0378
Fax(910) 938-3243
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2010
Enumeration DateApril 12, 2010
Last NPPES UpdateJuly 3, 2019
NPI 1265758544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in NC · 2019-00521 Licensed in FL · ME116101
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License ME116101 (FL)
4275 WESTERN BLVD, Jacksonville, NC 28546

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

Dr. Seth James Trifiro M.d. 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 ID7517180110
PECOS Enrollment IDI20190826001570
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 19

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.
861 services554 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.
511 services491 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.
283 services278 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.
134 services134 patients
Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248
This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.
50 services49 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.
49 services49 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

47.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.48
Promoting Interoperability0
Improvement Activities40
Cost65.16

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers31 claims31 services$35.96 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 8

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

Family Medicine
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Physician Assistant
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine (Cardiovascular Disease)
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine (Cardiovascular Disease)
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Physician Assistant
4275 WESTERN BLVD
JACKSONVILLE, NC 28546

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 Trifiro's NPI number?

The NPI number for Seth Trifiro is 1265758544. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Seth Trifiro located?

Seth Trifiro practices at 4275 Western Blvd, Jacksonville, NC 28546. The listed phone number is (910) 938-3099.

What is Seth Trifiro's specialty?

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

Is Seth Trifiro enrolled in Medicare?

Yes. Seth Trifiro 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 Trifiro accept?

Health plans from Blue Cross and Blue Shield of NC, UnitedHealthcare and Wellpoint list Seth Trifiro 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 Seth Trifiro affiliated with any hospitals?

According to CMS data, Seth Trifiro is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Seth Trifiro was last updated on July 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.