DR. NATHIN LEROY SEALS PA, PHARMD
NPI 1427335439
Physician Assistant - Medical in Pampa, TX
NPI Status: Active since November 05, 2011
Contact Information
3023 PERRYTON PKWY
SUITE 101
PAMPA, TX
ZIP 79065
Phone: (806) 665-0801
Fax: (806) 665-7903
- Individual
- Male
- Years of Experience 14
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About NATHIN SEALS
This page provides the complete NPI Profile along with additional information for Nathin Seals, a primary care provider established in Pampa, Texas with a medical specialization in Physician Assistant, focusing in medical and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1427335439 assigned on November 2011. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1427335439
- Provider Name
- DR. NATHIN LEROY SEALS PA, PHARMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3023 PERRYTON PKWY SUITE 101 PAMPA, TX 79065
- Location Phone
- (806) 665-0801
- Location Fax
- (806) 665-7903
- Mailing Address
- 3023 PERRYTON PKWY SUITE 101 PAMPA, TX 79065
- Mailing Phone
- (806) 665-0801
- Mailing Fax
- (806) 665-7903
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-05-2011
- Last Update Date
- 06-11-2012
- Code Navigator
A primary care provider (PCP) like Nathin Seals sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- TX
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) |
---|---|---|---|---|
1 | 183500000X | Pharmacy Service Providers | Pharmacist | RPH025074 (GA) |
2 | 183500000X | Pharmacy Service Providers | Pharmacist | 12761 (SC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nathin Seals is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Nathin Seals 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: 7618118050
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: I20130726000276
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? Yes
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.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 90 times for 77 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 127 times for 108 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 71 times for 66 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Implementation of an ASP | Yes | N/A |
Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
Participation in an AHRQ-listed patient safety organization. |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nathin Seals is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
HEREFORD REGIONAL MEDICAL CENTER | 801 EAST THIRD HEREFORD, TX 79045 | (806) 364-2141 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 2 | 7 | 3 | 3 | 5 | 4 | 3 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 4 | 7 | 6 | 3 | 10 | 4 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 4 + 7 + 6 + 3 + 1 + 0 + 4 + 6 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1427335439 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
MELINDA J HISCOCK M.D.
Obstetrics & Gynecology
3023 PERRYTON PKWY
STE 202
PAMPA, TX
ZIP 79065
FAMILY MEDICINE CENTER OF PAMPA PLLC
Family Medicine
3023 PERRYTON PKWY
SUITE 101
PAMPA, TX
ZIP 79065
MELINDA J HISCOCK MD PA
Obstetrics & Gynecology
3023 PERRYTON PKWY
STE 202
PAMPA, TX
ZIP 79065
HOUGH PEDIATRIC LLP
Pediatrics
3023 PERRYTON PKWY
206
PAMPA, TX
ZIP 79065
J. SCOTT ELLIS, DO, PA
Obstetrics & Gynecology
3023 PERRYTON PKWY
SUITE 205
PAMPA, TX
ZIP 79065
TIFFANY DAWN SHADLE FNP-C
Nurse Practitioner
(Family)
3023 PERRYTON PKWY
SUITE 101
PAMPA, TX
ZIP 79065
FAMILY MED NOW, PLLC
Nurse Practitioner
3023 PERRYTON PKWY
SUITE 100
PAMPA, TX
ZIP 79065
KEVIN D SIECK MD
Internal Medicine
3023 PERRYTON PKWY
SUITE 101
PAMPA, TX
ZIP 79065
DR. MOHANNAD BASEM BISHARAT M.D.
Internal Medicine
(Interventional Cardiology)
3023 PERRYTON PKWY
SUITE 101
PAMPA, TX
ZIP 79065
VANESSA WORKMAN APRN
Nurse Practitioner
(Adult Health)
3023 PERRYTON PKWY
SUITE 101
PAMPA, TX
ZIP 79065
PRIME HEALTHCARE SERVICES PAMPA LLC
Clinic/Center
(Rural Health)
3023 PERRYTON PKWY
PAMPA, TX
ZIP 79065
SILVER HEART CARDIOLOGY MD PA
Specialist
3023 PERRYTON PKWY
STE 205
PAMPA, TX
ZIP 79065
KARLA FERNANDEZ FNP-C
Nurse Practitioner
(Family)
3023 PERRYTON PKWY
PAMPA, TX
ZIP 79065
MRS. KRISTI HARDEN APRN, FNP-C
Nurse Practitioner
(Family)
3023 PERRYTON PKWY
PAMPA, TX
ZIP 79065
SUZANNE PRESSON WHCNP
Nurse Practitioner
(Women's Health)
3023 PERRYTON PKWY
PAMPA, TX
ZIP 79065
RAMIE NICHOLE MALONE NP
Nurse Practitioner
(Family)
3023 PERRYTON PKWY
PAMPA, TX
ZIP 79065
TANAKA RUZVIDZO APRN-CNP
Nurse Practitioner
(Psychiatric/Mental Health)
3023 PERRYTON PKWY
PAMPA, TX
ZIP 79065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427335439, enumerated as an "individual" on November 05, 2011.
The provider is located at 3023 PERRYTON PKWY SUITE 101 PAMPA, TX 79065 and the phone number is (806) 665-0801.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
Nathin Seals is affiliated with: HEREFORD REGIONAL MEDICAL CENTER.