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ANDREW C. SEIPEL MD
NPI 1578530127
Family Medicine in Newark, OH

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
2181 W HIGH ST, NEWARK, OH 43055(220) 564-1720(220) 564-1726 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 18, 2021, Oct 19, 2020, Apr 16, 2018 and 1 more (4 updates tracked since 2017).

About Andrew C. Seipel Md NPPES

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

ANDREW C. SEIPEL MD (NPI 1578530127) is an individual family medicine provider in Newark, Ohio, licensed in Ohio (35062845) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of University Of Toledo College Of Medicine (1990).

NPPES Registry Identity

NPI1578530127
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW C. SEIPELCredential: MD
Location Address2181 W HIGH STNewark, OH 43055-8917
Mailing Address2181 W High StNewark, OH 43055-8917 · (220) 564-1720 · Fax (220) 564-1726
Phone(220) 564-1720
Fax(220) 564-1726
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1990
Enumeration DateMarch 2, 2006
Last NPPES UpdateMarch 18, 20214 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1578530127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35062845
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.062845 (OH)
2181 W HIGH ST, Newark, OH 43055
Open in Google Maps ↗

Other Identifiers 1

Medicaid0854419OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Andrew C. Seipel Md 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 ID1951387117
PECOS Enrollment IDI20040628001003
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 9

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.
318 services202 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
125 services95 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.
113 services91 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
63 services63 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
58 services58 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
57 services50 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers51 claims99 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers26 claims32 services$0.98 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.98 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$110.26 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 4

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

LICKING MEMORIAL PROFESSIONAL CORP.
Family Medicine
2181 W HIGH ST
NEWARK, OH 43055
Licking County (740) 348-1720
DR. DOUGLAS SCHRAM DO
Family Medicine
2181 W HIGH ST
NEWARK, OH 43055
Licking County (740) 348-1720
SARAH ELIZABETH CATHERINE WILLIAMS FNP-C
Nurse Practitioner (Family)
2181 W HIGH ST
NEWARK, OH 43055
Licking County (220) 564-1420
SARAH DORSKY FNP-C
Nurse Practitioner (Family)
2181 W HIGH ST
NEWARK, OH 43055
Licking County (220) 564-1720

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 Andrew Seipel's NPI number?

The NPI number for Andrew Seipel is 1578530127. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Andrew Seipel located?

Andrew Seipel practices at 2181 W High St, Newark, OH 43055. The listed phone number is (220) 564-1720.

What is Andrew Seipel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Seipel enrolled in Medicare?

Yes. Andrew Seipel 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 Andrew Seipel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Andrew Seipel 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 Andrew Seipel affiliated with any hospitals?

According to CMS data, Andrew Seipel is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Seipel was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.