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SETH BODDEN MD
NPI 1619264447
Family Medicine in Milwaukee, WI

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
1121 E NORTH AVE, COLUMBIA-ST MARYS FAMILY MEDICINE, MILWAUKEE, WI 53212(414) 267-6502(414) 267-3892 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seth Bodden Md NPPES

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

SETH BODDEN MD (NPI 1619264447) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (62553) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Wisconsin School Of Medicine (2011).

NPPES Registry Identity

NPI1619264447
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSETH BODDENCredential: MD
Location Address1121 E NORTH AVE, COLUMBIA-ST MARYS FAMILY MEDICINEMilwaukee, WI 53212-3515
Mailing Address1121 E North Ave, Columbia-st Marys Family MedicineMilwaukee, WI 53212-3515 · (414) 267-6502 · Fax (414) 267-3892
Phone(414) 267-6502
Fax(414) 267-3892
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2011
Enumeration DateJune 30, 2011
Last NPPES UpdateJuly 22, 2014
✔ NPI 1619264447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 62553
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.
1121 E NORTH AVE, Milwaukee, WI 53212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Seth Bodden 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 ID6305085523
PECOS Enrollment IDI20140923002432
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

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.
35 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

MARGARET A SUMINSKI BS
Case Manager/Care Coordinator
1121 E NORTH AVE, COLUMBIA ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
MICHELLE ARNESON
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
VENESHIA NACOLE' MCKINNEY-WHITSON M.D.
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
MATHEW DONALD ENGMANN DO
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
ANALY VILLAFUERTE
Nurse Practitioner (Family)
1121 E NORTH AVE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6500
DR. DAVID P JOHNSON MD
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6500
CHRISTINA E ELDREDGE MD
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
MS. SARAH CECELIA SANCHEZ M.D.
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502

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 Bodden's NPI number?

The NPI number for Seth Bodden is 1619264447. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Seth Bodden located?

Seth Bodden practices at 1121 E North Ave Columbia-St Marys Family Medicine, Milwaukee, WI 53212. The listed phone number is (414) 267-6502.

What is Seth Bodden's specialty?

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

Is Seth Bodden enrolled in Medicare?

Yes. Seth Bodden 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 Bodden accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Seth Bodden 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 Bodden affiliated with any hospitals?

According to CMS data, Seth Bodden is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Seth Bodden was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.