SETH AVNER M.D.
NPI 1699151282
Internal Medicine - Cardiovascular Disease in Bronx, NY

Active since August 05, 2015PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER, BRONX, NY 10461(718) 918-5640(718) 918-3174 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 17, 2023, Jul 2, 2018 (2 updates tracked since 2018).

About Seth Avner M.d. NPPES

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

SETH AVNER M.D. (NPI 1699151282) is an individual cardiovascular disease provider in Bronx, New York, licensed in New Jersey (25MA11463600) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2015).

NPPES Registry Identity

NPI1699151282
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSETH AVNERCredential: M.D.
Location Address1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTERBronx, NY 10461
Mailing Address1400 Pelham Parkway South, Jacobi Medical CenterBronx, NY 10461 · (718) 918-5640 · Fax (718) 918-3174
Fax(718) 918-3174
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2015
Enumeration DateAugust 5, 2015
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1699151282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA11463600
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 294534 (NY)
1400 PELHAM PARKWAY SOUTH, Bronx, NY 10461

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

Seth Avner 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 ID1951642958
PECOS Enrollment IDI20220830000666
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
592 services255 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
310 services296 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
289 services123 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
280 services234 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.
116 services75 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
105 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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.

Registered Nurse
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461
Internal Medicine
1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461
Physician Assistant
1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461
Registered Nurse
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461
Internal Medicine
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461
Anesthesiology
1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461
Emergency Medicine (Pediatric Emergency Medicine)
1400 PELHAM PARKWAY SOUTH, JACOBI PEDIATRIC EMERGENCY DEPARTMENT
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

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 Avner's NPI number?

The NPI number for Seth Avner is 1699151282. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Seth Avner located?

Seth Avner practices at 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461. The listed phone number is (718) 918-5640.

What is Seth Avner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Seth Avner enrolled in Medicare?

Yes. Seth Avner 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 Avner accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Seth Avner 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 Avner affiliated with any hospitals?

According to CMS data, Seth Avner is affiliated with Holy Name Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Avner was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.