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DR. SETH A RUBENSTEIN DPM
NPI 1689657389
Podiatrist - Foot Surgery in Reston, VA

Active since November 28, 2005PECOS Enrolled
1860 TOWN CENTER DR, SUITE 220, RESTON, VA 20190(703) 391-0211(703) 880-1192 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2022, Nov 28, 2018, Dec 24, 2015 (3 updates tracked since 2015).

About Dr. Seth A Rubenstein Dpm NPPES

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

DR. SETH A RUBENSTEIN DPM (NPI 1689657389) is an individual foot surgery provider in Reston, Virginia, licensed in Virginia (0103000685) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689657389
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. SETH A RUBENSTEINCredential: DPM
Location Address1860 TOWN CENTER DR, SUITE 220Reston, VA 20190-5896
Mailing Address1600 E Gude Dr, Suite 200Rockville, MD 20850-1341 · (301) 933-7133 · Fax (301) 933-7137
Phone(703) 391-0211
Fax(703) 880-1192
Sole ProprietorNo
Enumeration DateNovember 28, 2005
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1689657389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in VA · 0103000685
Also ListedPodiatristTaxonomy 213E00000X · License 0103000685 (VA)
1860 TOWN CENTER DR, Reston, VA 20190
Open in Google Maps ↗

Other Identifiers 1

Other0373560001Dmepos

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Seth A Rubenstein Dpm 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.

Medicare Billing Reassignment

Medicare enrollment records show Seth Rubenstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foot And Ankle Specialists Of The Mid-Atlantic, LLC
226 mi
Podiatrist
3801 WAKE FOREST RD STE 100
Raleigh, NC 27609
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 57 clinicians in this Medicare group
NPI 1073804712 (301) 933-7133

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

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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
53%667 patients3/55-star benchmark: 96%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
97%109 patients4/55-star benchmark: 98%
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.
83%1,880 patients3/55-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.
85%368 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
98%401 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%401 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%964 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
67%328 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 75% · 365 patients
76%365 patients
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…
7%1,099 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
36%1,099 patients2/55-star benchmark: 99%
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.

RODOLFO H GONZALEZ MD. PC
Specialist
1860 TOWN CENTER DR, SUITE 350
RESTON, VA 20190
Fairfax County (703) 435-8256
GABRIELLE PHAM-CHE DPT
Physical Therapist (Orthopedic)
1860 TOWN CENTER DR
RESTON, VA 20190
Fairfax County (703) 483-4684
JANET AVERY MD PLC
Internal Medicine
1860 TOWN CENTER DR, SUITE 310
RESTON, VA 20190
Fairfax County (703) 481-5907
NATALIE COLLEEN BURNETT DRUMMOND DPT
Physical Therapist
1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190
Fairfax County (703) 483-4650
JASON MICHAEL OLIVER PTA
Physical Therapy Assistant
1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190
Fairfax County (703) 483-4684
LINDA JOHNSON RNFA
Registered Nurse (Registered Nurse First Assistant)
1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190
Fairfax County (703) 435-6604
JEFFREY HOWARD BERG M.D.
Orthopaedic Surgery (Sports Medicine)
1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190
Fairfax County (703) 435-6604
MAARIJ INC
Psychiatry & Neurology (Neurology)
1860 TOWN CENTER DR, SUITE 320
RESTON, VA 20190
Fairfax County (703) 348-7207

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 Rubenstein's NPI number?

The NPI number for Seth Rubenstein is 1689657389. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Seth Rubenstein located?

Seth Rubenstein practices at 1860 Town Center Dr Suite 220, Reston, VA 20190. The listed phone number is (703) 391-0211.

What is Seth Rubenstein's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Seth Rubenstein enrolled in Medicare?

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

Which organization bills Medicare for Seth Rubenstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Rubenstein reassigns Medicare benefits to Foot And Ankle Specialists Of The Mid-Atlantic, LLC (Raleigh, NC). The 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 Rubenstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Rubenstein accept?

Health plans from Oscar Health list Seth Rubenstein 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 Rubenstein was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.