SETH S HAPLEA M.D.
NPI 1467408906
Psychiatry & Neurology - Neurology in Kennett Square, PA

Q: What is Seth Haplea's NPI number?

The NPI number for Seth Haplea is 1467408906. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Seth Haplea's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Seth Haplea was last updated on July 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

86.75/100

CMS Quality Rating

402 MCFARLAN RD, KENNETT SQUARE, PA 19348(610) 444-5678 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Seth S Haplea M.d. NPPES

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

SETH S HAPLEA M.D. (NPI 1467408906) is an individual neurology provider in Kennett Square, Pennsylvania, licensed in Pennsylvania (MD057156L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Duke University School Of Medicine (1993).

NPPES Registry Identity

NPI1467408906

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameSETH S HAPLEACredential: M.D.

Location Address402 MCFARLAN RDKennett Square, PA 19348-2453

Mailing Address402 Mcfarlan RdKennett Square, PA 19348-2453 · (610) 444-5678

Phone(610) 444-5678

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1993

Enumeration DateMay 26, 2006

Last NPPES UpdateJuly 28, 2014

✔ NPI 1467408906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in PA · MD057156L

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

402 MCFARLAN RD, Kennett Square, PA 19348

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Other Identifiers 6

Other000639714PA · Blue Shield

Other2958547PA · Aetna

Other2110236000PA · Ibc Keystone Hp East

Other001418573PA · Blue Shield

Medicare UPING63791PA

Medicare ID-Type Unspecified005854PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 S Haplea M.d. 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 ID5496653867

PECOS Enrollment IDI20050512000309

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 12

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, 30-39 minutes 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.

971 services718 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

306 services218 patients

Established patient office or other outpatient visit, 40-54 minutes 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.

271 services230 patients

New patient office or other outpatient visit, 45-59 minutes 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.

135 services135 patients

New patient office or other outpatient visit, 60-74 minutes 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.

101 services101 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

77 services72 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

67 services66 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

49 services49 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

42 services42 patients

Nerve conduction, 11-12 studies 95912

Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.

38 services38 patients

Nerve conduction, 3-4 studies 95908

Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.

22 services22 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

19 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390226

Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19348 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

86.75/100

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

Scored as part of a group practice

Quality

75.91

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 13

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

MARK J BARIMANI PAC

Physician Assistant

402 MCFARLAN RD
KENNETT SQUARE, PA 19348

Chester County (610) 444-5678

DR. CLARENCE CHRISTIAN FRANCK III D.D.S.

Dentist

402 MCFARLAN RD, SUITE 202
KENNETT SQUARE, PA 19348

Chester County (610) 444-3212

DR. GLENN WILLIAM PASKOW DMD

Dentist (General Practice)

402 MCFARLAN RD, SUITE 303
KENNETT SQUARE, PA 19348

Chester County (610) 444-4033

DR. RICHARD MORRIE RAM DMD

Dentist (General Practice)

402 MCFARLAN RD, SUITE 303
KENNETT SQUARE, PA 19348

Chester County (610) 444-4033

STEVEN M GINSBURG DO

Family Medicine

402 MCFARLAN RD
KENNETT SQUARE, PA 19348

Chester County (610) 444-5678

PENNCARE-PENNSYLVANIA HOSPITALIST ASSOCIATES

Non-Pharmacy Dispensing Site

402 MCFARLAN RD, 102
KENNETT SQUARE, PA 19348

Chester County (610) 444-5678

CHERYL A HLAVAC MD

Family Medicine

402 MCFARLAN RD, SUITE 102
KENNETT SQUARE, PA 19348

Chester County (614) 444-5678

YOLANDA ANNE RUCH PAC

Physician Assistant (Medical)

402 MCFARLAN RD
KENNETT SQUARE, PA 19348

Chester County (610) 935-7300

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 Haplea's NPI number?

The NPI number for Seth Haplea is 1467408906. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Seth Haplea located?

Seth Haplea practices at 402 Mcfarlan Rd, Kennett Square, PA 19348. The listed phone number is (610) 444-5678.

What is Seth Haplea's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Seth Haplea enrolled in Medicare?

Yes. Seth Haplea 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 Haplea accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Seth Haplea 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 Haplea affiliated with any hospitals?

According to CMS data, Seth Haplea is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Chester County Hospital and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Seth Haplea was last updated on July 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.