TONYA SEYMOUR
NPI 1558773341
Physician Assistant in Potsdam, NY

Active since May 28, 2014PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
50 LEROY ST, POTSDAM, NY 13676(315) 261-5022 Get Directions Write a Review

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

About Tonya Seymour NPPES

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

TONYA SEYMOUR (NPI 1558773341) is an individual physician assistant in Potsdam, New York, licensed in New York (P92854) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558773341
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTONYA SEYMOUR
Location Address50 LEROY STPotsdam, NY 13676-1786
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 261-5022
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 28, 2014
NPI 1558773341 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 NY · P92854
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.

50 LEROY ST, Potsdam, NY 13676

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

Tonya Seymour 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 ID5597986844
PECOS Enrollment IDI20141030000219
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 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.
161 services53 patients
Follow-up hospital inpatient care per day, typically 35 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.
55 services21 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

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…
73%26 patients3/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%26 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
54%26 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%30 patients5/55-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 20

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

Internal Medicine (Cardiovascular Disease)
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Radiology (Diagnostic Radiology)
50 LEROY ST
POTSDAM, NY 13676
Internal Medicine (Cardiovascular Disease)
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant (Medical)
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Nurse Practitioner
50 LEROY ST, CANTON POTSDAM HOSPITAL
POTSDAM, NY 13676
Anesthesiology
50 LEROY ST
POTSDAM, NY 13676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558773341, enumerated as an "individual" on May 28, 2014.

The provider is located at 50 LEROY ST POTSDAM, NY 13676 and the phone number is (315) 261-5022.

Physician Assistant with taxonomy code 363A00000X.

Tonya Seymour is affiliated with: CANTON-POTSDAM HOSPITAL.