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DR. SETH JOSEPH ISAACS M.D.
NPI 1649434135
Otolaryngology in Cincinnati, OH

Active since July 14, 2008PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
3219 CLIFTON AVE, STE 220, CINCINNATI, OH 45220(513) 872-5400(513) 862-2245 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Seth Joseph Isaacs M.d. NPPES

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

DR. SETH JOSEPH ISAACS M.D. (NPI 1649434135) is an individual otolaryngology provider in Cincinnati, Ohio, licensed in Ohio (35.095206) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1649434135
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SETH JOSEPH ISAACSCredential: M.D.
Location Address3219 CLIFTON AVE, STE 220Cincinnati, OH 45220-3027
Mailing Address4600 Wesley Ave, Ste NCincinnati, OH 45212-2298 · (513) 841-5240 · Fax (513) 841-1580
Phone(513) 872-5400
Fax(513) 862-2245
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 14, 2008
Last NPPES UpdateJuly 28, 2010
✔ NPI 1649434135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 35.095206
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3219 CLIFTON AVE, Cincinnati, OH 45220
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Seth Joseph Isaacs M.d. 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 ID1355492174
PECOS Enrollment IDI20100927000860
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

2

Medicare enrollment records show Seth Isaacs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth G LLC
Same address
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000
Trihealth H LLC
Same address
Internal Medicine
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1659783793 (513) 862-1400

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 12

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.
321 services168 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
210 services115 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.
126 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
43 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
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…
1%110 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
50%78 patients3/55-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
45%110 patients2/55-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.

HELEN K KOSELKA M.D.
Internal Medicine
3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220
Hamilton County (513) 528-5600
HELMUT F SCHELLHAS MD
Obstetrics & Gynecology (Gynecologic Oncology)
3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220
Hamilton County (513) 862-1888
FOR WOMEN INC
Obstetrics & Gynecology
3219 CLIFTON AVE, SUITE 125
CINCINNATI, OH 45220
Hamilton County (513) 563-2030
JACK B BASIL MD
Obstetrics & Gynecology (Gynecologic Oncology)
3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220
Hamilton County (513) 862-1888
DR. KENNETH J NEWMARK M.D.
Internal Medicine (Nephrology)
3219 CLIFTON AVE, #325
CINCINNATI, OH 45220
Hamilton County (513) 861-0800
DR. ROBERT K HUTCHINS MD
Ophthalmology
3219 CLIFTON AVE, SUITE 210
CINCINNATI, OH 45220
Hamilton County (513) 861-7575
DR. AMIR IZHAR M.D.
Internal Medicine (Nephrology)
3219 CLIFTON AVE, #325
CINCINNATI, OH 45220
Hamilton County (513) 861-0800
SAMARITAN OB GYN INC
Obstetrics & Gynecology
3219 CLIFTON AVE, SUITE 230
CINCINNATI, OH 45220
Hamilton County (513) 559-9411

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 Isaacs's NPI number?

The NPI number for Seth Isaacs is 1649434135. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Seth Isaacs located?

Seth Isaacs practices at 3219 Clifton Ave Ste 220, Cincinnati, OH 45220. The listed phone number is (513) 872-5400.

What is Seth Isaacs's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Seth Isaacs enrolled in Medicare?

Yes. Seth Isaacs 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 Isaacs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Isaacs reassigns Medicare benefits to 2 organizations: Trihealth G LLC (Cincinnati, OH) and Trihealth H LLC (Cincinnati, OH). 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 Isaacs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Isaacs accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Seth Isaacs 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 Isaacs affiliated with any hospitals?

According to CMS data, Seth Isaacs is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Seth Isaacs was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.