DR. MICHAEL E SEEM MD
NPI 1336594621
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Winchester, VA

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
128 MEDICAL CIR, WINCHESTER, VA 22601(540) 667-8975(540) 667-6589 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 30, 2024, Aug 29, 2023, Aug 5, 2021 and 2 more (5 updates tracked since 2021).

About Dr. Michael E Seem Md NPPES

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

DR. MICHAEL E SEEM MD (NPI 1336594621) is an individual adult reconstructive orthopaedic surgery provider in Winchester, Virginia, licensed in Virginia (0101272483) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336594621
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. MICHAEL E SEEMCredential: MD
Location Address128 MEDICAL CIRWinchester, VA 22601-3322
Mailing Address128 Medical CirWinchester, VA 22601-3322 · (540) 667-8975 · Fax (540) 667-6589
Fax(540) 667-6589
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateDecember 30, 20245 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1336594621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in VA · 0101272483
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License D91528 (MD), 31374 (WV)
128 MEDICAL CIR, Winchester, VA 22601

Secondary Practice Locations 2

Location 161 Campus Dr Ste 130Martinsburg, WV 25404-7542 · Phone (304) 725-2663
Location 2912 Somerset Blvd Ste 102Charles Town, WV 25414-3954 · Phone (304) 725-2663

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. Michael E Seem 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 ID9436442746
PECOS Enrollment IDI20241029002235
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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
304 services45 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.
145 services106 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
91 services69 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
82 services48 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
78 services70 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.
51 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number511316
Location117 Hospital DrivePetersburg, WV 26847 · Grant County
Emergency services

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Specialist/Technologist, Other (Surgical Assistant)
128 MEDICAL CIR
WINCHESTER, VA 22601
Physical Therapist
128 MEDICAL CIR
WINCHESTER, VA 22601
Physician Assistant
128 MEDICAL CIR
WINCHESTER, VA 22601
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
128 MEDICAL CIR
WINCHESTER, VA 22601
Orthopaedic Surgery
128 MEDICAL CIR
WINCHESTER, VA 22601
Specialist/Technologist (Athletic Trainer)
128 MEDICAL CIR
WINCHESTER, VA 22601
Physician Assistant
128 MEDICAL CIR
WINCHESTER, VA 22601
Physician Assistant
128 MEDICAL CIR
WINCHESTER, VA 22601

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 Michael Seem's NPI number?

The NPI number for Michael Seem is 1336594621. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Michael Seem located?

Michael Seem practices at 128 Medical Cir, Winchester, VA 22601. The listed phone number is (540) 667-8975.

What is Michael Seem's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Michael Seem enrolled in Medicare?

Yes. Michael Seem 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 Michael Seem accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Michael Seem 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 Michael Seem affiliated with any hospitals?

According to CMS data, Michael Seem is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Hampshire Memorial Hospital and Grant Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Seem was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.