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SETH GORMAN OD
NPI 1629627559
Optometrist in Richmond, VA

Active since September 04, 2019PECOS EnrolledAccepts Medicare Assignment
4501 S LABURNUM AVE STE 145, RICHMOND, VA 23231(804) 591-4581 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2020, Sep 4, 2019 (2 updates tracked since 2019).

About Seth Gorman Od NPPES

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

SETH GORMAN OD (NPI 1629627559) is an individual optometrist in Richmond, Virginia, licensed in Virginia (0618002822) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2019).

NPPES Registry Identity

NPI1629627559
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSETH GORMANCredential: OD
Location Address4501 S LABURNUM AVE STE 145Richmond, VA 23231-2483
Mailing Address10116 Brook RdGlen Allen, VA 23059-6514 · (804) 515-7733 · Fax (804) 515-9636
Phone(804) 591-4581
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2019
Enumeration DateSeptember 4, 2019
Last NPPES UpdateDecember 31, 20202 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1629627559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618002822
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4501 S LABURNUM AVE STE 145, Richmond, VA 23231
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13410 Pump RdHenrico, VA 23233 · Phone (804) 364-1837 · Fax (804) 364-1698
Location 25617 W Broad StRichmond, VA 23230 · Phone (804) 282-7228 · Fax (804) 285-3781
Location 310116 Brook RdGlen Allen, VA 23059 · Phone (804) 515-7733 · Fax (804) 515-9636

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seth Gorman Od 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 ID5698188902
PECOS Enrollment IDI20210106000306
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Seth Gorman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

James River Eye Associates
9.2 mi
Optometrist
5617 W BROAD ST
Richmond, VA 23230
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1487918132 (804) 282-7228
Drs Rainer & Ryan Optometrists Plc
12 mi
Optometrist
10116 BROOK RD
Glen Allen, VA 23059
  • Reassigned Medicare billing, Virginia enrollment
  • 6 clinicians in this Medicare group
NPI 1295819787 (804) 515-7733
Vision Center PC
17 mi
Optometrist
3410 PUMP ROAD
Richmond, VA 23233
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1184878597 (804) 364-1837

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
87 services84 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
51 services41 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23231 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Gorman's NPI number?

The NPI number for Seth Gorman is 1629627559. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Seth Gorman located?

Seth Gorman practices at 4501 S Laburnum Ave Ste 145, Richmond, VA 23231. The listed phone number is (804) 591-4581.

What is Seth Gorman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Seth Gorman enrolled in Medicare?

Yes. Seth Gorman 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.

Which organizations bill Medicare for Seth Gorman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Gorman reassigns Medicare benefits to 3 organizations: James River Eye Associates (Richmond, VA), Drs Rainer & Ryan Optometrists Plc (Glen Allen, VA) and Vision Center PC (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seth Gorman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Gorman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Seth Gorman 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 Seth Gorman was last updated on December 31, 2020. 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.