SETH GARRETT MD
NPI 1396290946
Pain Medicine - Interventional Pain Medicine in Birmingham, AL

NPI Status: Active since August 23, 2016

Contact Information

625 19TH ST S
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-4303

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  • Individual
  • Male
  • Years of Experience 10
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About SETH GARRETT

This page provides the complete NPI Profile along with additional information for Seth Garrett, a provider established in Birmingham, Alabama with a medical specialization in Pain Medicine, focusing in interventional pain medicine and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1396290946 assigned on August 2016. The practitioner's primary taxonomy code is 208VP0014X with license number 38439 (AL). The provider is registered as an individual and his NPI record was last updated April 2026.

NPI
1396290946
Provider Name
SETH GARRETT MD
Gender
Male
Entity Type
Individual
Location Address
625 19TH ST S BIRMINGHAM, AL 35233
Location Phone
(205) 934-4303
Mailing Address
625 19TH ST S BIRMINGHAM, AL 35233
Mailing Phone
(205) 934-4303
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
08-23-2016
Last Update Date
04-03-2026
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Location Map

Secondary Locations

  • 3827 Jimmy Lee Smith Pkwy
    Hiram, GA 30141
    (770) 222-8900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
38439
License State
AL
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

81258 (GA)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

38439 (AL)
3390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

(AL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Standardized Statewide Silver EPO - EPO
  • Blue Statewide Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MD.38439OTHER (01)ALLICENSE
81258OTHER (01)GALICENSE

Medicare Participation & PECOS Enrollment Status

Seth Garrett is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Seth Garrett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7214276500

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190304002499, I20191010000654

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 32 times for 17 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 36 times for 30 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 251 times for 102 patients

Fluoroscopic guidance for needle placement

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

This service was performed 32 times for 17 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 14 times for 12 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

This service was performed 13 times for 12 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 14 times for 13 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 20 times for 17 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

This service was performed 163 times for 36 patients

Injection, dexamethasone sodium phosphate, 1 mg

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

This service was performed 232 times for 14 patients

Testing for presence of drug, by chemistry analyzers

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

This service was performed 174 times for 84 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 35233 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.31
  • Minimum New Patient Price $52.65
  • Maximum New Patient Price $161.63
  • Average New Patient Copayment $30.57
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.4

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.72
  • Minimum Established Patient Price $16.56
  • Maximum Established Patient Price $131.65
  • Average Established Patient Copayment $23.43
  • Minimum Established Patient Copayment $4.14
  • Maximum Established Patient Copayment $32.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396290946, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 4 + 9 + 0 + 9 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1396290946.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Internal Medicine
625 19TH ST S
BIRMINGHAM, AL 35233
Internal Medicine
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Emergency Medicine
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396290946, enumerated as an "individual" on August 23, 2016.

The provider is located at 625 19TH ST S BIRMINGHAM, AL 35233 and the phone number is (205) 934-4303.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare. Please consult your insurance carrier or call the provider to verify.