AJAY K SETH M.D.
NPI 1689662843
Orthopaedic Surgery - Hand Surgery in North Canton, OH

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
68.54/100
CMS Quality Rating
7442 FRANK AVE NW, NORTH CANTON, OH 44720(330) 455-5367(330) 455-6114 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ajay K Seth M.d. NPPES

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

AJAY K SETH M.D. (NPI 1689662843) is an individual hand surgery provider in North Canton, Ohio, licensed in Ohio (35079643) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Medical College Of Wisconsin (1998).

NPPES Registry Identity

NPI1689662843
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameAJAY K SETHCredential: M.D.
Location Address7442 FRANK AVE NWNorth Canton, OH 44720-7022
Mailing Address7442 Frank Ave NwNorth Canton, OH 44720-7022 · (330) 455-5367 · Fax (330) 455-6114
Fax(330) 455-6114
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1998
Enumeration DateOctober 12, 2005
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
NPI 1689662843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in OH · 35079643
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
7442 FRANK AVE NW, North Canton, OH 44720

Other Identifiers 1

Medicaid2503080OH

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 and accepts Medicare assignment

Ajay K Seth 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 ID8921086752
PECOS Enrollment IDI20040708001553
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 18

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.

Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
134 services109 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.
134 services119 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.
132 services132 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
101 services74 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.
100 services88 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
72 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44720 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

68.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.86
Promoting Interoperability62
Improvement Activities40
Cost67.96

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$53.80 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier18 claims20 services$73.17 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.

Physical Therapist
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Physician Assistant
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Physical Therapist
7442 FRANK AVE NW
NORTH CANTON, OH 44720
Orthopaedic Surgery
7442 FRANK AVE NW
NORTH CANTON, OH 44720

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 Ajay Seth's NPI number?

The NPI number for Ajay Seth is 1689662843. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Ajay Seth located?

Ajay Seth practices at 7442 Frank Ave NW, North Canton, OH 44720. The listed phone number is (330) 455-5367.

What is Ajay Seth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Ajay Seth enrolled in Medicare?

Yes. Ajay Seth 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 Ajay Seth accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Insurance Corporation of Ohio and SummaCare list Ajay Seth 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 Ajay Seth affiliated with any hospitals?

According to CMS data, Ajay Seth is affiliated with Mercy Medical Center and Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Seth was last updated on September 30, 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.