SARWAN KUMAR SETH MD
NPI 1295765527
Family Medicine - Adult Medicine in East Orange, NJ

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
310 CENTRAL AVE, 100, EAST ORANGE, NJ 07018(973) 674-2242(973) 674-8033 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sarwan Kumar Seth Md NPPES

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

SARWAN KUMAR SETH MD (NPI 1295765527) is an individual adult medicine provider in East Orange, New Jersey, licensed in New Jersey (MA38057) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1295765527
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameSARWAN KUMAR SETHCredential: MD
Location Address310 CENTRAL AVE, 100East Orange, NJ 07018-2835
Mailing Address310 Central Ave, 100East Orange, NJ 07018-2835 · (973) 674-2242 · Fax (973) 674-8033
Fax(973) 674-8033
Sole ProprietorYes
Medical School CMSOtherGraduated 1968
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1295765527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in NJ · MA38057
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

310 CENTRAL AVE, East Orange, NJ 07018

Other Identifiers 2

Medicare UPINC53735NJ
Medicare ID-Type Unspecified665257NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Sarwan Kumar 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 ID648296640
PECOS Enrollment IDI20051019000564
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
145 services102 patients
Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes 99335
This refers to a routine medical visit for an established patient living in a group care facility, custodial care, or assisted living. The visit typically lasts 25 minutes and includes a check-up and discussion about ongoing healthcare needs.
69 services21 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
67 services30 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
21 services12 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services20 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality87.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%1,154 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
49%337 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
41%337 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%337 patients1/55-star benchmark: 59%
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 5

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier14 claims450 services$6.33 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier21 claims630 services$4.10 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier14 claims420 services$3.16 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier16 claims357 services$2.63 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier16 claims7,624 services$0.22 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 19

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

Podiatrist
310 CENTRAL AVE, SUITE 301
EAST ORANGE, NJ 07018
Internal Medicine (Infectious Disease)
310 CENTRAL AVE, SUITE 102
EAST ORANGE, NJ 07018
Internal Medicine (Infectious Disease)
310 CENTRAL AVE, SUITE 102
EAST ORANGE, NJ 07018
Internal Medicine (Hematology & Oncology)
310 CENTRAL AVE, SUITE 103
EAST ORANGE, NJ 07018
Internal Medicine (Hematology & Oncology)
310 CENTRAL AVE, SUITE 106
EAST ORANGE, NJ 07018
Internal Medicine
310 CENTRAL AVE, SUIT 106
EAST ORANGE, NJ 07018
Internal Medicine (Hematology & Oncology)
310 CENTRAL AVE, SUIT 106
EAST ORANGE, NJ 07018
Podiatrist (Foot Surgery)
310 CENTRAL AVE, SUITE 204
EAST ORANGE, NJ 07018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295765527, enumerated as an "individual" on July 03, 2006.

The provider is located at 310 CENTRAL AVE 100 EAST ORANGE, NJ 07018 and the phone number is (973) 674-2242.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.

Sarwan Seth is affiliated with: ENGLEWOOD HOSPITAL AND MEDICAL CENTER.