DR. SETH HINTZE CARTER D.O.
NPI 1689024598
Family Medicine - Geriatric Medicine in Erie, PA

Q: What is Seth Carter's NPI number?

The NPI number for Seth Carter is 1689024598. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Seth Carter's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Seth Carter was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment

5535 PEACH ST, ERIE, PA 16509(814) 868-3488(814) 868-3499 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2023, Jul 29, 2020, Feb 24, 2020 and 2 more (5 updates tracked since 2016).

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About Dr. Seth Hintze Carter D.o. NPPES

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

DR. SETH HINTZE CARTER D.O. (NPI 1689024598) is an individual geriatric medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS019830) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1689024598

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameDR. SETH HINTZE CARTERCredential: D.O.

Location Address5535 PEACH STErie, PA 16509-2603

Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2529 · Fax (814) 868-2522

Phone(814) 868-3488

Fax(814) 868-3499

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016

Enumeration DateJune 21, 2016

Last NPPES UpdateJanuary 20, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2023

✔ NPI 1689024598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in PA · OS019830

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

5535 PEACH ST, Erie, PA 16509

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Other Identifiers 1

Medicaid103680083PA

Accepted Insurance

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

Dr. Seth Hintze Carter D.o. 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 ID840521969

PECOS Enrollment IDI20191003002532

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 14

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

358 services49 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

335 services50 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

83 services41 patients

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.

82 services39 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.

72 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

60 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

27 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

27 services27 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

26 services20 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

26 services19 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

26 services16 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

21 services13 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

19 services13 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Hamot

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390063

Location201 State StreetErie, PA 16550 · Erie County

Emergency services Birthing friendly

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390198

Location5515 Peach StreetErie, PA 16509 · Erie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$4.97 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$9.93 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

2 suppliers18 claims18 services$89.36 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers18 claims18 services$13.75 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier11 claims11 services$163.71 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 19

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

RYAN J LYNCH DO

Psychiatry & Neurology (Neurology)

5535 PEACH ST
ERIE, PA 16509

Erie County (814) 868-3488

DR. JEAN M STORM DO

Internal Medicine

5535 PEACH ST
ERIE, PA 16509

Erie County (814) 868-3488

MILLCREEK MANOR PHARMACY

Pharmacy (Long Term Care Pharmacy)

5535 PEACH ST
ERIE, PA 16509

Erie County (814) 868-3869

DR. GIANPIERO MARTONE DO

Psychiatry & Neurology (Child & Adolescent Psychiatry)

5535 PEACH ST
ERIE, PA 16509

Erie County (814) 868-3488

DR. JENNIFER ANN KLINE PHARMD

Pharmacist

5535 PEACH ST
ERIE, PA 16509

Erie County (814) 868-3452

BRANDON MICHAEL SING PHARM.D.

Pharmacist

5535 PEACH ST
ERIE, PA 16509

Erie County (814) 868-3984

MIKAYLA CONANT

Occupational Therapy Assistant

5535 PEACH ST
ERIE, PA 16509

Erie County (814) 868-3888

MILLCREEK MANOR

Clinical Medical Laboratory

5535 PEACH ST
ERIE, PA 16509

Erie County (814) 868-2496

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 Carter's NPI number?

The NPI number for Seth Carter is 1689024598. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Seth Carter located?

Seth Carter practices at 5535 Peach St, Erie, PA 16509. The listed phone number is (814) 868-3488.

What is Seth Carter's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Seth Carter enrolled in Medicare?

Yes. Seth Carter 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 Carter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Seth Carter 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 Carter affiliated with any hospitals?

According to CMS data, Seth Carter is affiliated with Upmc Hamot and Millcreek Community Hospital.

When was this NPI record last updated?

The NPPES record for Seth Carter was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.