DR. SETH JASON SKLARE M.D.
NPI 1346621604
Internal Medicine - Pulmonary Disease in Silverdale, WA

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1950 NW MYHRE RD FL 2, SILVERDALE, WA 98383(564) 240-4000(564) 240-4119 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2026, May 15, 2024, Jun 6, 2022 and 2 more (5 updates tracked since 2021).

About Dr. Seth Jason Sklare M.d. NPPES

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

DR. SETH JASON SKLARE M.D. (NPI 1346621604) is an individual pulmonary disease provider in Silverdale, Washington, licensed in Washington (MD70084175) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346621604
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SETH JASON SKLARECredential: M.D.
Location Address1950 NW MYHRE RD FL 2Silverdale, WA 98383-7662
Mailing Address1950 Nw Myhre Rd Fl 2Silverdale, WA 98383-7662 · (564) 240-4000 · Fax (564) 240-4119
Fax(564) 240-4119
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateMay 28, 20265 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1346621604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in WA · MD70084175✔ Licensed in KY · 55277
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD70084175 (WA), 35C.001109 (OH), CDR.0001550 (CO), 036159601 (IL)
1950 NW MYHRE RD FL 2, Silverdale, WA 98383

Secondary Practice Locations 3

Location 11010 Three Springs Blvd Ste 110ADurango, CO 81301-8296 · Phone (970) 764-2750 · Fax (970) 764-2778
Location 2770 W High St Ste 240Lima, OH 45801-5906 · Phone (419) 996-2686 · Fax (419) 996-2687
Location 3911 Bypass Rd Bldg APikeville, KY 41501-1602 · Phone (606) 430-2208 · Fax (606) 218-7508

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Seth Jason Sklare 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 ID4981911450
PECOS Enrollment IDI20210701003825, I20220317000751, I20231027002710, I20240125002164, I20260511000633
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Seth Sklare reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2200 NW MYHRE RD
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 1,526 clinicians in this Medicare group
Cardiovascular Disease
214 S 4TH ST
Kremmling, CO 80459
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Virginia enrollment
  • 501 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, West Virginia enrollment
  • 228 clinicians in this Medicare group
Family Medicine
2605 KENTUCKY AVE, SUITE 306
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
Surgery
830 W HIGH ST STE 206
Lima, OH 45801
  • Reassigned Medicare billing, Ohio enrollment
  • 439 clinicians in this Medicare group
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
Pulmonary Disease
4003 KRESGE WAY STE 312
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
Multi-Specialty
407 MAIN ST STE 1
Belpre, OH 45714
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
Clinic/Center
254 CASSIDY BLVD
Pikeville, KY 41501
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
171 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services30 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.
34 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 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.
24 services24 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
14 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500039
Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County
Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98383 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$16.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$83.58 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 17

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

Internal Medicine (Rheumatology)
1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383
Internal Medicine (Infectious Disease)
1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383
Internal Medicine (Sleep Medicine)
1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383
Physician Assistant (Surgical)
1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383
Internal Medicine (Infectious Disease)
1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383
Internal Medicine (Critical Care Medicine)
1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383
Surgery
1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383
Internal Medicine (Pulmonary Disease)
1950 NW MYHRE RD FL 2
SILVERDALE, WA 98383

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 Sklare's NPI number?

The NPI number for Seth Sklare is 1346621604. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Seth Sklare located?

Seth Sklare practices at 1950 NW Myhre Rd Fl 2, Silverdale, WA 98383. The listed phone number is (564) 240-4000.

What is Seth Sklare's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Seth Sklare enrolled in Medicare?

Yes. Seth Sklare 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.

Which organizations bill Medicare for Seth Sklare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Sklare reassigns Medicare benefits to 10 organizations: Franciscan Medical Group (Silverdale, WA), Catholic Health Initiatives Colorado (Kremmling, CO), Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX), Baptist Health Medical Group Inc (Paducah, KY) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seth Sklare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Sklare accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia, Oscar Insurance Company and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Seth Sklare 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 Sklare affiliated with any hospitals?

According to CMS data, Seth Sklare is affiliated with Norton Hospitals, Inc, Mercy Health-St Rita's Medical Center, Harrison Medical Center and Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Sklare was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.