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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SETH LEE WELBORN M.D.
NPI 1376907436
Surgery - Trauma Surgery in Greenville, NC

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
503 BOWMAN GRAY DR, GREENVILLE, NC 27834(252) 816-0600(252) 816-0721 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Aug 28, 2026, Sep 8, 2023 and 3 more (6 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 trauma surgery provider in Greenville, North Carolina, licensed in North Carolina (2021-01861) 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 Richland.

NPPES Registry Identity

NPI1376907436
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameDR. SETH LEE WELBORNCredential: M.D.
Location Address503 BOWMAN GRAY DRGreenville, NC 27834-7286
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 816-0600
Fax(252) 816-0721
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateSeptember 22, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1376907436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in NC · 2021-01861
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License MD61424785 (WA), 2018-01861 (NC)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License MD61424785 (WA)
503 BOWMAN GRAY DR, Greenville, NC 27834
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Secondary Practice Location 1

Location 1888 Swift BlvdRichland, WA 99352-3514 · Phone (099) 422-0175 · Fax (509) 942-2701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Premera Blue Cross Blue Shield of Alaska.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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Seth Welborn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Washington
2,234 mi
Clinical Medical Laboratory
1025 S 2ND AVE
Walla Walla, WA 99362
  • Reassigned Medicare billing, Washington enrollment
  • 276 clinicians in this Medicare group
NPI 1316433527 (509) 897-5174
Kadlec Regional Medical Center
2,275 mi
Clinic/Center
4008 W 27TH AVE, SUITE 103
Kennewick, WA 99337
  • Reassigned Medicare billing, Washington enrollment
  • 454 clinicians in this Medicare group
NPI 1063967933 (509) 942-2144

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 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

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

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Othello Community Hospital

Critical Access Hospitals · Othello, WA
OwnershipGovernment - Local
CMS Certification Number501318
Location315 North 14th AvenueOthello, WA 99344 · Adams 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.

KELLI STARR OLDHAM
Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
ASHLEY NICOLE PALDINO NP
Nurse Practitioner (Acute Care)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
MR. SHAWN ALAN MCCARTHY PA-C, ATC
Physician Assistant (Surgical)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-4001
SHANNON WRIGHT LONGSHORE M.D.
Surgery (Pediatric Surgery)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
MRS. TRACY COLLINS PATERSON FNP
Nurse Practitioner (Family)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
DR. FRANCES CHINENYE OKOLO M.D.
Surgery
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
COLLEEN SOLES BUCHER RDN LDN
Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
EVAN JONES REY DO
Surgery
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600

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 503 Bowman Gray Dr, Greenville, NC 27834. The listed phone number is (252) 816-0600.

What is Seth Welborn's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

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.

Which organizations bill Medicare for Seth Welborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Welborn reassigns Medicare benefits to 2 organizations: Providence Health & Services - Washington (Walla Walla, WA) and Kadlec Regional Medical Center (Kennewick, WA). 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 Welborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Welborn accept?

Health plans from Cigna Healthcare and 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, Kadlec Regional Medical Center, Prosser Memorial Hospital and Othello Community Hospital.

When was this NPI record last updated?

The NPPES record for Seth Welborn was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.