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SEBA LEE KRUMHOLTZ MD
NPI 1669442968
Internal Medicine in Boca Raton, FL

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
14/100
CMS Quality Rating
1905 CLINT MOORE RD, SUITE 201, BOCA RATON, FL 33496(561) 994-5454 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Seba Lee Krumholtz Md NPPES

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

SEBA LEE KRUMHOLTZ MD (NPI 1669442968) is an individual internal medicine provider in Boca Raton, Florida, licensed in Florida (ME56266) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1984).

NPPES Registry Identity

NPI1669442968
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEBA LEE KRUMHOLTZCredential: MD
Location Address1905 CLINT MOORE RD, SUITE 201Boca Raton, FL 33496-2658
Mailing Address1905 Clint Moore Rd, Suite 201Boca Raton, FL 33496-2658 · (561) 994-5454
Phone(561) 994-5454
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1984
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMay 14, 2008
✔ NPI 1669442968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME56266
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1905 CLINT MOORE RD, Boca Raton, FL 33496
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Other Identifiers 4

Medicare PIN08941XFL
OtherP00413514Railroad Medicare
Medicare UPINA59936
Other08941FL · Bcbs Of Fl

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

Seba Lee Krumholtz 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 ID5092818948
PECOS Enrollment IDI20070313000526
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 33496 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost46.67

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
92%105 patients4/55-star benchmark: 96%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
100%491 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%492 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,239 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,965 patients5/55-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
73%386 patients4/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%492 patients5/55-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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$15.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$78.69 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
3 suppliers16 claims345 services$0.15 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers16 claims16 services$24.42 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 20

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

DR. CLAY BRYANT SHUMWAY DPM
Podiatrist
1905 CLINT MOORE RD
BOCA RATON, FL 33496
Palm Beach County (407) 960-1717
MICHELLE Y BRUZZO MD PA
Internal Medicine
1905 CLINT MOORE RD, SUITE 302
BOCA RATON, FL 33496
Palm Beach County (561) 988-5387
ROBERT EDGAR SONNEBORN MD
Internal Medicine
1905 CLINT MOORE RD, SUITE 201
BOCA RATON, FL 33496
Palm Beach County (561) 994-5454
ERIC SEAN LAZAR MD
Internal Medicine (Nephrology)
1905 CLINT MOORE RD, SUITE 212
BOCA RATON, FL 33496
Palm Beach County (561) 989-9070
CENTRAL PALM BEACH PHYSICIANS & URGENT CARE INC
Specialist
1905 CLINT MOORE RD, SUITE 308
BOCA RATON, FL 33496
Palm Beach County (561) 967-8888
OWEN JAY RHEINGOLD MD
Internal Medicine
1905 CLINT MOORE RD, SUITE 204
BOCA RATON, FL 33496
Palm Beach County (561) 988-0995
MRS. LINDSAY MARIE LAZZERI PT
Physical Therapist
1905 CLINT MOORE RD, SUITE 308
BOCA RATON, FL 33496
Palm Beach County (561) 955-9384
DANIEL S. KOVACS, M.D., P.A.
Plastic Surgery
1905 CLINT MOORE RD, SUITE 101
BOCA RATON, FL 33496
Palm Beach County (561) 912-9191

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 Seba Krumholtz's NPI number?

The NPI number for Seba Krumholtz is 1669442968. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Seba Krumholtz located?

Seba Krumholtz practices at 1905 Clint Moore Rd Suite 201, Boca Raton, FL 33496. The listed phone number is (561) 994-5454.

What is Seba Krumholtz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Seba Krumholtz enrolled in Medicare?

Yes. Seba Krumholtz 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.

When was this NPI record last updated?

The NPPES record for Seba Krumholtz was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.