SETH T DAHLBERG M.D.
NPI 1639152564
Internal Medicine - Cardiovascular Disease in Worcester, MA

Active since November 23, 2005PECOS Enrolled
97.02/100
CMS Quality Rating
55 LAKE AVE N, DEPARTMENT OF CARDIOVASCULAR & NUCLEAR MEDICINE, WORCESTER, MA 01655(508) 334-3452(508) 856-4571 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2020, Mar 18, 2019 (2 updates tracked since 2019).

About Seth T Dahlberg M.d. NPPES

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

SETH T DAHLBERG M.D. (NPI 1639152564) is an individual cardiovascular disease provider in Worcester, Massachusetts, licensed in Massachusetts (57266) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639152564
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSETH T DAHLBERGCredential: M.D.
Location Address55 LAKE AVE N, DEPARTMENT OF CARDIOVASCULAR & NUCLEAR MEDICINEWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348
Fax(508) 856-4571
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
NPI 1639152564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MA · 57266
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
55 LAKE AVE N, Worcester, MA 01655

Other Identifiers 1

Medicaid110048569AMA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Seth T Dahlberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Dahlberg's NPI number?

The NPI number for Seth Dahlberg is 1639152564. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Seth Dahlberg located?

Seth Dahlberg practices at 55 Lake Ave N Department Of Cardiovascular & Nuclear Medicine, Worcester, MA 01655. The listed phone number is (508) 334-3452.

What is Seth Dahlberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Seth Dahlberg enrolled in Medicare?

Yes. Seth Dahlberg is registered in the Medicare PECOS enrollment system.

What insurance does Seth Dahlberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Seth Dahlberg 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 Dahlberg was last updated on October 28, 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.