BENNY SETO MD
NPI 1689808313
Surgery - Surgery of the Hand in Vestal, NY

Active since May 09, 2009PECOS EnrolledAccepts Medicare Assignment
4433 VESTAL PKWY E, VESTAL, NY 13850(607) 771-2220 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Feb 2, 2026, Jul 4, 2024 and 2 more (5 updates tracked since 2021).

About Benny Seto Md NPPES

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

BENNY SETO MD (NPI 1689808313) is an individual surgery of the hand provider in Vestal, New York, licensed in Illinois (036170651) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1689808313
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameBENNY SETOCredential: MD
Location Address4433 VESTAL PKWY EVestal, NY 13850-3556
Mailing Address33 Lewis Rd Fl 2Binghamton, NY 13905-1055 · (607) 770-0025
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 9, 2009
Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1689808313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
Licenses Licensed in IL · 036170651 Licensed in NY · 280633 Licensed in IN · 01077632A
Definition
A surgeon with expertise 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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 350576 (LA)
Also ListedSurgeryTaxonomy 208600000X · License 280633 (NY)
4433 VESTAL PKWY E, Vestal, NY 13850

Secondary Practice Location 1

Location 19091 Ellerbe Rd Ste 200Shreveport, LA 71106-6737 · Phone (318) 218-5434

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

Benny Seto 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 ID5890083513
PECOS Enrollment IDI20260323001802
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 7

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.
53 services40 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.
29 services29 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.
26 services25 patients
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.
19 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3807
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$190.08 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$53.84 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
4433 VESTAL PKWY E
VESTAL, NY 13850
Occupational Therapist
4433 VESTAL PKWY E
VESTAL, NY 13850
Family Medicine (Sports Medicine)
4433 VESTAL PKWY E
VESTAL, NY 13850
Physician Assistant
4433 VESTAL PKWY E
VESTAL, NY 13850
Podiatrist
4433 VESTAL PKWY E
VESTAL, NY 13850
Physician Assistant
4433 VESTAL PKWY E
VESTAL, NY 13850
Nurse Practitioner (Family)
4433 VESTAL PKWY E
VESTAL, NY 13850
Physical Therapist
4433 VESTAL PKWY E
VESTAL, NY 13850

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 Benny Seto's NPI number?

The NPI number for Benny Seto is 1689808313. It was assigned to this individual provider in the NPPES registry on May 9, 2009.

Where is Benny Seto located?

Benny Seto practices at 4433 Vestal Pkwy E, Vestal, NY 13850. The listed phone number is (607) 771-2220.

What is Benny Seto's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Benny Seto enrolled in Medicare?

Yes. Benny Seto 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 Benny Seto accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Home State Health and 5 other insurers list Benny Seto 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 Benny Seto affiliated with any hospitals?

According to CMS data, Benny Seto is affiliated with Blessing Hospital.

When was this NPI record last updated?

The NPPES record for Benny Seto was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.