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DR. PRADIP SETH DPM
NPI 1407904808
Podiatrist in Cincinnati, OH

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
6320 EAST KEMPER ROAD, SUITE 100, CINCINNATI, OH 45241(513) 489-5533(513) 489-5534 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Pradip Seth Dpm NPPES

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

DR. PRADIP SETH DPM (NPI 1407904808) is an individual podiatrist in Cincinnati, Ohio, licensed in Ohio (36002264S) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1984).

NPPES Registry Identity

NPI1407904808
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. PRADIP SETHCredential: DPM
Location Address6320 EAST KEMPER ROAD, SUITE 100Cincinnati, OH 45241
Mailing Address6320 East Kemper Road, Suite 100Cincinnati, OH 45241 · (513) 489-5533 · Fax (513) 489-5534
Phone(513) 489-5533
Fax(513) 489-5534
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1984
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMay 10, 2013
✔ NPI 1407904808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 36002264S
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6320 EAST KEMPER ROAD, Cincinnati, OH 45241
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Other Identifiers 4

Medicaid2626313OH
Medicare ID-Type UnspecifiedSE0579924
Other5591300001OH · Dmerc P-tan
Medicare UPINT80722

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.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. Pradip Seth Dpm 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 ID4183520604
PECOS Enrollment IDI20031208000346
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 6

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
1,493 services537 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
898 services374 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
155 services124 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
61 services55 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
58 services31 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45241 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SETH PODIATRY INC
Podiatrist
6320 EAST KEMPER ROAD, SUITE 100
CINCINNATI, OH 45241
Hamilton County (513) 489-5533

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 Pradip Seth's NPI number?

The NPI number for Pradip Seth is 1407904808. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Pradip Seth located?

Pradip Seth practices at 6320 East Kemper Road Suite 100, Cincinnati, OH 45241. The listed phone number is (513) 489-5533.

What is Pradip Seth's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Pradip Seth enrolled in Medicare?

Yes. Pradip Seth 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 Pradip Seth accept?

Health plans from Molina Healthcare and UnitedHealthcare list Pradip Seth 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.

When was this NPI record last updated?

The NPPES record for Pradip Seth was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.