DR. SETH LEE WELBORN M.D.
NPI 1376907436
Surgery - Surgical Critical Care in Richland, WA

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
888 SWIFT BLVD, RICHLAND, WA 99352(099) 422-0175(509) 942-2701 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Jul 14, 2023, Aug 1, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Seth Lee Welborn M.d. NPPES

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

DR. SETH LEE WELBORN M.D. (NPI 1376907436) is an individual surgical critical care provider in Richland, Washington, licensed in Washington (MD61424785) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1376907436
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. SETH LEE WELBORNCredential: M.D.
Location Address888 SWIFT BLVDRichland, WA 99352-3514
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 946-4611 · Fax (509) 627-2983
Fax(509) 942-2701
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateSeptember 8, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1376907436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in WA · MD61424785
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License MD61424785 (WA), 2018-01861 (NC)
888 SWIFT BLVD, Richland, WA 99352

Secondary Practice Location 1

Location 1517 Moye BlvdGreenville, NC 27834-2849 · Phone (252) 847-4299 · Fax (252) 847-8208

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. Seth Lee Welborn 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 ID42611329
PECOS Enrollment IDI20230804001322
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 4

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.
136 services74 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.
105 services101 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.
23 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381319
Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County
Emergency services Birthing friendly

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Lourdes Medical Center

Critical Access Hospitals · Pasco, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501337
Location520 N Fourth AvenuePasco, WA 99301 · Franklin 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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
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.

Registered Nurse
888 SWIFT BLVD
RICHLAND, WA 99352
Anesthesiology
888 SWIFT BLVD
RICHLAND, WA 99352
Internal Medicine (Critical Care Medicine)
888 SWIFT BLVD
RICHLAND, WA 99352
Registered Nurse (Registered Nurse First Assistant)
888 SWIFT BLVD
RICHLAND, WA 99352
Pharmacist
888 SWIFT BLVD
RICHLAND, WA 99352
Pharmacist
888 SWIFT BLVD
RICHLAND, WA 99352
Anesthesiology
888 SWIFT BLVD
RICHLAND, WA 99352
Emergency Medicine
888 SWIFT BLVD
RICHLAND, WA 99352

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 Welborn's NPI number?

The NPI number for Seth Welborn is 1376907436. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Seth Welborn located?

Seth Welborn practices at 888 Swift Blvd, Richland, WA 99352. The listed phone number is (099) 422-0175.

What is Seth Welborn's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Seth Welborn enrolled in Medicare?

Yes. Seth Welborn 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 Welborn accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Seth Welborn 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 Welborn affiliated with any hospitals?

According to CMS data, Seth Welborn is affiliated with St Anthony Hospital, Providence St Mary Medical Center, Trios Health, Kadlec Regional Medical Center and Lourdes Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Welborn was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.