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MS. PRIYANKA SETH PA-C
NPI 1528350352
Physician Assistant in West Springfield, MA

Active since May 12, 2011PECOS EnrolledAccepts Medicare Assignment
82 MAIN ST, WEST SPRINGFIELD, MA 01089(413) 788-0100 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Priyanka Seth Pa-c NPPES

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

MS. PRIYANKA SETH PA-C (NPI 1528350352) is an individual physician assistant in West Springfield, Massachusetts, licensed in Massachusetts (PA4146) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1528350352
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. PRIYANKA SETHCredential: PA-C
Location Address82 MAIN STWest Springfield, MA 01089-3942
Mailing Address82 Main StWest Springfield, MA 01089-3942 · (413) 788-0100
Phone(413) 788-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 12, 2011
✔ NPI 1528350352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA4146
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
82 MAIN ST, West Springfield, MA 01089
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Other Names 1

Other Name (5)Ms. Priyanka Sethi Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Ms. Priyanka Seth Pa-c 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 ID4486812211
PECOS Enrollment IDI20120223000944
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
124 services121 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
79 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services26 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
25 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01089 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
3%168 patients1/55-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.

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.

MS. MARY F. CANALE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
82 MAIN ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 788-0100
ANGELINA HODGKINS PA-C
Physician Assistant
82 MAIN ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 788-0100
CLEANSLATE CENTERS, LLC
Internal Medicine (Addiction Medicine)
82 MAIN ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 788-0100

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 Priyanka Seth's NPI number?

The NPI number for Priyanka Seth is 1528350352. It was assigned to this individual provider in the NPPES registry on May 12, 2011. The provider is also known as Ms. Priyanka Sethi Pa-C.

Where is Priyanka Seth located?

Priyanka Seth practices at 82 Main St, West Springfield, MA 01089. The listed phone number is (413) 788-0100.

What is Priyanka Seth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Priyanka Seth enrolled in Medicare?

Yes. Priyanka Seth 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 Priyanka Seth accept?

Health plans from WellSense Health Plan list Priyanka Seth 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.

When was this NPI record last updated?

The NPPES record for Priyanka Seth was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.