SETH GUPTON NP
NPI 1437815032
Nurse Practitioner - Family in South Boston, VA

Q: What is Seth Gupton's NPI number?

The NPI number for Seth Gupton is 1437815032. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Seth Gupton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Seth Gupton was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 09, 2021PECOS EnrolledAccepts Medicare Assignment

1129 N MAIN ST STE G, SOUTH BOSTON, VA 24592(434) 572-8196(434) 572-8341 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2022, Nov 9, 2021 (2 updates tracked since 2021).

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About Seth Gupton Np NPPES

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

SETH GUPTON NP (NPI 1437815032) is an individual family provider in South Boston, Virginia, licensed in Virginia (0024183102) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and maintains a secondary practice location in South Boston.

NPPES Registry Identity

NPI1437815032

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSETH GUPTONCredential: NP

Location Address1129 N MAIN ST STE GSouth Boston, VA 24592-2547

Mailing Address53 Occoneechee DrClarksville, VA 23927-3412

Phone(434) 572-8196

Fax(434) 572-8341

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 9, 2021

Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2022

✔ NPI 1437815032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024183102

1129 N MAIN ST STE G, South Boston, VA 24592

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Secondary Practice Location 1

Location 12232 Wilborn AveSouth Boston, VA 24592-1662 · Phone (434) 572-8196

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 Gupton Np 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 ID4284024738

PECOS Enrollment IDI20211124001105

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

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.

61 services61 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.

60 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490013

Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 3

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

SURESH GEHAN JAYATILAKA M.D.

Internal Medicine (Gastroenterology)

1129 N MAIN ST STE G
SOUTH BOSTON, VA 24592

Halifax County (434) 572-8196

SOUTHERN GASTROENTEROLOGY ASSOCIATES PC

Specialist

1129 N MAIN ST STE G
SOUTH BOSTON, VA 24592

Halifax County (434) 572-8196

BAKUL KUMAR PATEL

Internal Medicine (Gastroenterology)

1129 N MAIN ST STE G
SOUTH BOSTON, VA 24592

Halifax County (434) 572-8196

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 Gupton's NPI number?

The NPI number for Seth Gupton is 1437815032. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Seth Gupton located?

Seth Gupton practices at 1129 N Main St Ste G, South Boston, VA 24592. The listed phone number is (434) 572-8196.

What is Seth Gupton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Seth Gupton enrolled in Medicare?

Yes. Seth Gupton 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.

Is Seth Gupton affiliated with any hospitals?

According to CMS data, Seth Gupton is affiliated with Sentara Halifax Regional Hospital.

When was this NPI record last updated?

The NPPES record for Seth Gupton was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.