SETH THOMAS BILLINGTON NP
NPI 1306555115
Nurse Practitioner - Family in Rochester, NY

Active since November 21, 2022PECOS Enrolled
64.55/100
CMS Quality Rating
400 RED CREEK DR STE 120, ROCHESTER, NY 14623(585) 334-5560 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seth Thomas Billington Np NPPES

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

SETH THOMAS BILLINGTON NP (NPI 1306555115) is an individual family provider in Rochester, New York, licensed in New York (350506) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306555115
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSETH THOMAS BILLINGTONCredential: NP
Location Address400 RED CREEK DR STE 120Rochester, NY 14623-4273
Mailing Address400 Red Creek Dr Ste 120Rochester, NY 14623-4273 · (585) 334-5560
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
NPI 1306555115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 350506
400 RED CREEK DR STE 120, Rochester, NY 14623

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Seth Thomas Billington Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860861671
PECOS Enrollment IDI20221216000884
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 3

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
105 services50 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
53 services49 patients
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.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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.

64.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.4
Promoting Interoperability83
Improvement Activities40
Cost14.65

Other Providers at the Same Location NPPES 4

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

Physician Assistant
400 RED CREEK DR STE 120
ROCHESTER, NY 14623
Chiropractor
400 RED CREEK DR STE 120
ROCHESTER, NY 14623
Neurological Surgery
400 RED CREEK DR STE 120
ROCHESTER, NY 14623
Physician Assistant
400 RED CREEK DR STE 120
ROCHESTER, NY 14623

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 Billington's NPI number?

The NPI number for Seth Billington is 1306555115. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Seth Billington located?

Seth Billington practices at 400 Red Creek Dr Ste 120, Rochester, NY 14623. The listed phone number is (585) 334-5560.

What is Seth Billington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Seth Billington enrolled in Medicare?

Yes. Seth Billington is registered in the Medicare PECOS enrollment system.

Is Seth Billington affiliated with any hospitals?

According to CMS data, Seth Billington is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Seth Billington was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.