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SETH STEINBERG MD
NPI 1356381370
Internal Medicine - Gastroenterology in Atlantis, FL

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
5401 S CONGRESS AVE, #211, ATLANTIS, FL 33462(561) 964-8221(561) 967-8974 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2021, Mar 15, 2019 (2 updates tracked since 2019).

About Seth Steinberg Md NPPES

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

SETH STEINBERG MD (NPI 1356381370) is an individual gastroenterology provider in Atlantis, Florida, licensed in Florida (ME55798) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of University Of Florida College Of Medicine (1988).

NPPES Registry Identity

NPI1356381370
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSETH STEINBERGCredential: MD
Location Address5401 S CONGRESS AVE, #211Atlantis, FL 33462-6635
Mailing Address5401 S Congress Ave Ste 211Atlantis, FL 33462-6637 · (561) 964-8221 · Fax (561) 964-7393
Phone(561) 964-8221
Fax(561) 967-8974
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1988
Enumeration DateJune 7, 2006
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1356381370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME55798
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5401 S CONGRESS AVE, Atlantis, FL 33462
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Other Identifiers 1

Medicaid268906500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Seth Steinberg 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 ID4789648171
PECOS Enrollment IDI20100422000687
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 9

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.

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.
285 services220 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.
148 services131 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.
103 services103 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
87 services87 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
82 services80 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
73 services73 patients

Hospital Affiliations CMS Care Compare 4

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
17%242 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
82%480 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
21%43 patients1/55-star benchmark: 100%
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.
97%1,126 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
26%515 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
18%763 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%339 patients5/55-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.
42%1,008 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
35%515 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
41%870 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
13%738 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 272 patients
91%274 patients4/55-star benchmark: 98%
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…
100%1,008 patients5/55-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…
11%1,008 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
35%1,008 patients
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.

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.

FLORIDA HEALTH CARE MEDICAL GROUP
Internal Medicine
5401 S CONGRESS AVE, SUITE 201
ATLANTIS, FL 33462
Palm Beach County (561) 641-7848
JENNIFER SPIEGEL MD
Pathology (Clinical Pathology/Laboratory Medicine)
5401 S CONGRESS AVE, STE 105B
ATLANTIS, FL 33462
Palm Beach County (561) 964-8221
WILLIAM SIMONS MD
Internal Medicine
5401 S CONGRESS AVE, # 218
ATLANTIS, FL 33462
Palm Beach County (561) 968-0307
MRS. JEAN CARLUCCI DOSDOS R.D.,L.D
Dietitian, Registered
5401 S CONGRESS AVE, SUITE 201
ATLANTIS, FL 33462
Palm Beach County (561) 641-7848
YAKOV ILICH GITIN MD
Internal Medicine (Gastroenterology)
5401 S CONGRESS AVE, SUITE 211
ATLANTIS, FL 33462
Palm Beach County (561) 964-8221
TARYN SILVERSTEIN D.O.
Internal Medicine (Gastroenterology)
5401 S CONGRESS AVE, STE 211
ATLANTIS, FL 33462
Palm Beach County (561) 964-8221
ALETA SCHELEUR ARNP
Nurse Practitioner
5401 S CONGRESS AVE, STE 102
ATLANTIS, FL 33462
Palm Beach County (561) 967-5033
MILES MEDRANO MD
Internal Medicine (Gastroenterology)
5401 S CONGRESS AVE, #211
ATLANTIS, FL 33462
Palm Beach County (561) 964-8221

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 Steinberg's NPI number?

The NPI number for Seth Steinberg is 1356381370. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Seth Steinberg located?

Seth Steinberg practices at 5401 S Congress Ave #211, Atlantis, FL 33462. The listed phone number is (561) 964-8221.

What is Seth Steinberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Seth Steinberg enrolled in Medicare?

Yes. Seth Steinberg 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 Seth Steinberg accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Seth Steinberg 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 Steinberg affiliated with any hospitals?

According to CMS data, Seth Steinberg is affiliated with Hca Florida Jfk Hospital, Boca Raton Regional Hospital, Jupiter Medical Center and Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Steinberg was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.