SETH N BRAUNSTEIN MD
NPI 1427080720
Internal Medicine - Endocrinology, Diabetes & Metabolism in Wilmington, NC

Q: What is Seth Braunstein's NPI number?

The NPI number for Seth Braunstein is 1427080720. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Seth Braunstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Seth Braunstein was last updated on January 17, 2020. 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

88.55/100

CMS Quality Rating

2421 SILVER STREAM LN, WILMINGTON, NC 28401(910) 341-3300(910) 251-2067 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2020, Oct 28, 2016 (2 updates tracked since 2016).

On this page

About Seth N Braunstein Md NPPES

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

SETH N BRAUNSTEIN MD (NPI 1427080720) is an individual endocrinology, diabetes & metabolism provider in Wilmington, North Carolina, licensed in North Carolina (2011-01745) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of New York University School Of Medicine (1972).

NPPES Registry Identity

NPI1427080720

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameSETH N BRAUNSTEINCredential: MD

Location Address2421 SILVER STREAM LNWilmington, NC 28401-7684

Mailing Address2421 Silver Stream LnWilmington, NC 28401-7684 · (910) 815-6114 · Fax (910) 251-8824

Phone(910) 341-3300

Fax(910) 251-2067

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1972

Enumeration DateJuly 7, 2006

Last NPPES UpdateJanuary 17, 20202 updates tracked since enumeration

✔ NPI 1427080720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NC · 2011-01745

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2421 SILVER STREAM LN, Wilmington, NC 28401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, 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

Seth N Braunstein Md 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 ID1759272347

PECOS Enrollment IDI20111108000888

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 23

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,860 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

727 services317 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

661 services290 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

626 services286 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

589 services272 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

579 services260 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

565 services252 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

561 services258 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

481 services227 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

481 services227 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

433 services215 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

271 services112 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

91 services78 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

58 services36 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

54 services38 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

44 services35 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

40 services22 patients

Cortisol (hormone) measurement, total 82533

Cortisol measurement is a test that checks the level of cortisol, a hormone, in your body. It's often used to assess stress levels or check for conditions like Addison's disease or Cushing's syndrome. This involves a simple blood or saliva sample.

27 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

25 services25 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

24 services17 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

22 services19 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC

OwnershipVoluntary non-profit - Other

CMS Certification Number341327

Location924 Howe StSouthport, NC 28461 · Brunswick County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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.

88.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

71.27

Promoting Interoperability

100

Improvement Activities

Cost

84.84

Reported Quality Measures

Advance Care Plan

19%607 patients1/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

100%24 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

71%718 patients3/55-star benchmark: 98%

Coronary Artery Disease (CAD): Antiplatelet Therapy

82%100 patients4/55-star benchmark: 100%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

100%922 patients5/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

25%806 patients4/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

98%2,537 patients4/55-star benchmark: 100%

e-Prescribing

91%6,455 patients2/55-star benchmark: 100%

Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)

18%214 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 967 patients

Patients screened: 99% · 967 patients

24%85 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

86%1,148 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%866 patients3/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

6 suppliers58 claims714 services$17.25 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

6 suppliers54 claims1,600 services$2.32 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

50 suppliers173 claims720 services$6.35 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

4 suppliers11 claims11 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

26 suppliers56 claims97 services$1.09 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

7 suppliers13 claims26 services$56.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LINDA R SHARENOW RD ,CDE

Nutritionist (Nutrition, Education)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

CRYSTAL DAWN HILL PA-C

Physician Assistant (Surgical)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

SEAN MCCALMON D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 763-6332

MARY PINTO

Nurse Practitioner

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

CATHERINE CLARK DUNCAN DPT

Physical Therapist

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

KELLY LEE GLISSON NP

Nurse Practitioner

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

VICTORIA TUCKER N.P.

Nurse Practitioner (Pediatrics)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 763-2072

MELISSA DANIELLE FLYNN RD/LDN

Dietitian, Registered

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 362-8605

PAUL F KAMITSUKA MD

Internal Medicine (Infectious Disease)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

CAROL BRYANT LCSW

Social Worker (Clinical)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 262-4376

ROBERT NELSON PA-C

Physician Assistant

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3383

RONALD L GEORGE JR.

Internal Medicine (Rheumatology)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

DR. HEATHER B FAVORITO MD

Internal Medicine (Rheumatology)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

MICHAEL Y PARKER MD

Otolaryngology (Plastic Surgery within the Head & Neck)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 509-7474

MICHAEL S MCGARRITY M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2421 SILVER STREAM LN, WILMINGTON HEALTH, PLLC
WILMINGTON, NC 28401

New Hanover County (910) 251-8824

KIMBERLY D MYERS APRN, NP-C

Nurse Practitioner (Family)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3426

WILMINGTON HEALTH PLLC

Hearing Instrument Specialist

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 617-6105

JOHN C PARKER M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

DR. GINA MARIE BERTHOLD M.D.

Internal Medicine (Infectious Disease)

2421 SILVER STREAM LN, ATTEN CREDENTIALING
WILMINGTON, NC 28401

New Hanover County (910) 341-3300

MRS. CARYN ANN BOWDEN FNP

Nurse Practitioner (Pediatrics)

2421 SILVER STREAM LN
WILMINGTON, NC 28401

New Hanover County (910) 763-2072

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 Braunstein's NPI number?

The NPI number for Seth Braunstein is 1427080720. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Seth Braunstein located?

Seth Braunstein practices at 2421 Silver Stream Ln, Wilmington, NC 28401. The listed phone number is (910) 341-3300.

What is Seth Braunstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Seth Braunstein enrolled in Medicare?

Yes. Seth Braunstein 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 Braunstein accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Seth Braunstein 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 Braunstein affiliated with any hospitals?

According to CMS data, Seth Braunstein is affiliated with Novant Health New Hanover Regional Medical Center and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Seth Braunstein was last updated on January 17, 2020. 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.