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SUSAN SEMAN DO
NPI 1376500496
Surgery in West Bloomfield, MI

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
6900 ORCHARD LAKE RD, SUITE 315, WEST BLOOMFIELD, MI 48322(248) 470-3916 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Seman Do NPPES

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

SUSAN SEMAN DO (NPI 1376500496) is an individual surgery provider in West Bloomfield, Michigan, licensed in Michigan (SS012179) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1376500496
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSUSAN SEMANCredential: DO
Location Address6900 ORCHARD LAKE RD, SUITE 315West Bloomfield, MI 48322-3405
Mailing Address6900 Orchard Lake Rd, Ste 204West Bloomfield, MI 48322-3425 · (248) 470-3916 · Fax (678) 666-9686
Phone(248) 470-3916
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 1, 2006
Last NPPES UpdateNovember 7, 2019
✔ NPI 1376500496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · SS012179
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6900 ORCHARD LAKE RD, West Bloomfield, MI 48322
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Other Identifiers 2

Medicaid4224306MI
Other0256306825MI · Blue Cross Traditional

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Susan Seman Do 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 ID9032003520
PECOS Enrollment IDI20040217000303
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 7

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.

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.
229 services74 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
139 services44 patients
Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046
This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.
83 services12 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.
66 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230277
LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%171 patients4/55-star benchmark: 100%
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%51 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.
31%77 patients2/55-star benchmark: 99%
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…
67%94 patients3/55-star benchmark: 97%
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: 94% · 93 patients
Patients tobacco: 91% · 93 patients
93%28 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…
77%77 patients4/55-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…
6%77 patients1/55-star benchmark: 59%
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.

MICHAEL GARCIA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6900 ORCHARD LAKE RD, SUITE 204
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-5620
MMG 1PC
Internal Medicine
6900 ORCHARD LAKE RD, SUITE 303
WEST BLOOMFIELD, MI 48322
Oakland County (248) 851-4192
CLINICAL SOLUTIONS INC.
Prosthetic/Orthotic Supplier
6900 ORCHARD LAKE RD, SUITE 315 B , BEAUMONT MEDICAL CENTER
WEST BLOOMFIELD, MI 48322
Oakland County (313) 278-0967
TRESSA ELIZABETH KONNIE
Speech-Language Pathologist
6900 ORCHARD LAKE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-4480
DR. SUSAN SEMAN PLC
Surgery
6900 ORCHARD LAKE RD, SUITE 203
WEST BLOOMFIELD, MI 48322
Oakland County (248) 470-3916
WILLIAM BEAUMONT HOSPITAL
General Acute Care Hospital
6900 ORCHARD LAKE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-5023
MICHIGAN WOMENS HEALTH INSTITUTE,PC
Obstetrics & Gynecology
6900 ORCHARD LAKE RD, SUITE 306
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-6663
DR. DEBORAH A CHARFOOS MD
Obstetrics & Gynecology
6900 ORCHARD LAKE RD, STE 306
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-6663

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 Susan Seman's NPI number?

The NPI number for Susan Seman is 1376500496. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Susan Seman located?

Susan Seman practices at 6900 Orchard Lake Rd Suite 315, West Bloomfield, MI 48322. The listed phone number is (248) 470-3916.

What is Susan Seman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Susan Seman enrolled in Medicare?

Yes. Susan Seman 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 Susan Seman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Susan Seman 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 Susan Seman affiliated with any hospitals?

According to CMS data, Susan Seman is affiliated with Sinai-Grace Hospital and Huron Valley-Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Susan Seman was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.