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DR. BALJEET S SETHI M.D.
NPI 1316972482
Psychiatry & Neurology - Neurology in Waldorf, MD

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
11350 PEMBROOKE SQ, SUITE 312, WALDORF, MD 20603(301) 843-0803(301) 645-1201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Baljeet S Sethi M.d. NPPES

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

DR. BALJEET S SETHI M.D. (NPI 1316972482) is an individual neurology provider in Waldorf, Maryland, licensed in Maryland (D25517) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1316972482
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BALJEET S SETHICredential: M.D.
Location Address11350 PEMBROOKE SQ, SUITE 312Waldorf, MD 20603-4809
Mailing Address11350 Pembrooke Sq, Suite 312Waldorf, MD 20603-4809 · (301) 843-0803 · Fax (301) 645-1201
Phone(301) 843-0803
Fax(301) 645-1201
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316972482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MD · D25517
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
11350 PEMBROOKE SQ, Waldorf, MD 20603
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Baljeet S Sethi 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 ID7416139662
PECOS Enrollment IDI20260107000340
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

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.

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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

Other Providers at the Same Location NPPES 10

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

KELSEY ANNE BLAKE SLP
Speech-Language Pathologist
11350 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (301) 885-0033
THE NEUROLOGY CLINIC, P.C.
Psychiatry & Neurology (Neurology)
11350 PEMBROOKE SQ, SUITE 312
WALDORF, MD 20603
Charles County (301) 843-0803
JANELLE ADRIENNE JACOBS
Speech-Language Pathologist
11350 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (301) 885-0033
DR. MICHAEL HOWARD HOTCHKISS M.D.
Obstetrics & Gynecology
11350 PEMBROOKE SQ, SUITE 303
WALDORF, MD 20603
Charles County (301) 374-2560
OLUWAPELUMI AKINPELU
Behavior Technician
11350 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (301) 885-0033
SHARON L CAVE CRNP
Nurse Practitioner (Adult Health)
11350 PEMBROOKE SQ, SUITE 312
WALDORF, MD 20603
Charles County (301) 843-0803
ALYCIA AJAYI
Speech-Language Pathologist
11350 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (301) 885-0033
DR. JOSEPH GEORGE COLONNA M.D.
Urology
11350 PEMBROOKE SQ, SUITE 311
WALDORF, MD 20603
Charles County (301) 645-7011

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 Baljeet Sethi's NPI number?

The NPI number for Baljeet Sethi is 1316972482. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Baljeet Sethi located?

Baljeet Sethi practices at 11350 Pembrooke Sq Suite 312, Waldorf, MD 20603. The listed phone number is (301) 843-0803.

What is Baljeet Sethi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Baljeet Sethi enrolled in Medicare?

Yes. Baljeet Sethi 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 Baljeet Sethi accept?

Health plans from UnitedHealthcare list Baljeet Sethi 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 Baljeet Sethi affiliated with any hospitals?

According to CMS data, Baljeet Sethi is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Baljeet Sethi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.