SETH EBERHARDT DPM
NPI 1447682968
Podiatrist in West Reading, PA

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
6TH AVENUE & SPRUCE STREET, WEST READING, PA 19611(484) 628-4908 Get Directions Write a Review

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

Record update history: Apr 7, 2022, Jan 13, 2021 (2 updates tracked since 2021).

About Seth Eberhardt Dpm NPPES

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

SETH EBERHARDT DPM (NPI 1447682968) is an individual podiatrist in West Reading, Pennsylvania, licensed in Pennsylvania (SC006462) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Temple University School Of Medicine (2013).

NPPES Registry Identity

NPI1447682968
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameSETH EBERHARDTCredential: DPM
Location Address6TH AVENUE & SPRUCE STREETWest Reading, PA 19611
Mailing Address50 Commerce DrWyomissing, PA 19610-3335 · (610) 372-8044
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2013
Enumeration DateAugust 7, 2013
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
NPI 1447682968 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 PA · SC006462
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.
6TH AVENUE & SPRUCE STREET, West Reading, PA 19611

Accepted 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 Eberhardt 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 ID9436440518
PECOS Enrollment IDI20160621000527
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 14

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
166 services91 patients
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.
165 services104 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
101 services28 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.
99 services47 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
70 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
67 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims800 services$0.10 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers11 claims11 services$239.31 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.

Psychologist
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Physician Assistant (Medical)
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Psychologist
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Social Worker
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Psychiatry & Neurology (Psychiatry)
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Anesthesiology
6TH AVENUE & SPRUCE STREET, READING ANESTHESIA ASSOCIATES LTD
READING, PA 19611
Obstetrics & Gynecology
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Anesthesiology
6TH AVENUE & SPRUCE STREET, READING ANESTHESIA ASSOCIATES LTD
WEST READING, PA 19611

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 Eberhardt's NPI number?

The NPI number for Seth Eberhardt is 1447682968. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Seth Eberhardt located?

Seth Eberhardt practices at 6th Avenue & Spruce Street, West Reading, PA 19611. The listed phone number is (484) 628-4908.

What is Seth Eberhardt's specialty?

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

Is Seth Eberhardt enrolled in Medicare?

Yes. Seth Eberhardt 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 Eberhardt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Seth Eberhardt 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 Eberhardt affiliated with any hospitals?

According to CMS data, Seth Eberhardt is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Eberhardt was last updated on April 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.