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

Q: 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.

Q: What is Seth Avner's specialty?

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

Q: 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 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 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: October 18, 2026.

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

On this page

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 Hackensack University 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

Phone(718) 918-5640

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)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1400 PELHAM PARKWAY SOUTH, Bronx, NY 10461

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Medical Associates Of Englewood, PC

7.1 mi

Internal Medicine

350 ENGLE ST
Englewood, NJ 07631

Reassigned Medicare billing, New Jersey enrollment
849 clinicians in this Medicare group

NPI 1952681918 (201) 608-2136

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

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

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

52 services26 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

35 services35 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

35 services35 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

35 services35 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

35 services29 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.

32 services32 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services21 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

18 services18 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

18 services18 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

16 services16 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.

16 services13 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

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

Quality

87.26

Promoting Interoperability

100

Improvement Activities

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.

MS. ZULMA F. WALTERS RN

Registered Nurse

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461

Bronx County (718) 519-1438

DR. LORI ANN CIUFFO

Internal Medicine

1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

Bronx County (718) 918-3060

MR. ARTUR SHLIFER

Physician Assistant

1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

Bronx County (718) 918-3060

MS. ELAINE ROSARIO RN

Registered Nurse

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461

Bronx County (718) 918-5025

DR. WONDIMAGEGNEHU MULATU TEFERI M.D.

Internal Medicine

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461

Bronx County (718) 918-5640

DR. ODETTE W. SAWIRES MD

Anesthesiology

1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

Bronx County (718) 918-3060

ANNETTE DELGADO M.D.

Emergency Medicine (Pediatric Emergency Medicine)

1400 PELHAM PARKWAY SOUTH, JACOBI PEDIATRIC EMERGENCY DEPARTMENT
BRONX, NY 10461

Bronx County (718) 918-5875

MR. ADITYA KARTHIKEYAN M.D.

Student in an Organized Health Care Education/Training Program

1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

Bronx County (718) 918-5640

MR. JOSEPH DEPINTO

Pharmacist

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461

Bronx County (719) 918-3952

PREETHAM EZHILARASU

Student in an Organized Health Care Education/Training Program

1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

Bronx County (718) 918-5640

MS. SHIZA WAJIH SIDDIQUI M.D.

Student in an Organized Health Care Education/Training Program

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER, BUILDING 4, ROOM 6511
BRONX, NY 10461

Bronx County (718) 918-5000

HAYAVADHAN THUPPAL M.D.

Surgery (Vascular Surgery)

1400 PELHAM PARKWAY SOUTH, BUILDING 1, 2W-6
BRONX, NY 10461

Bronx County (718) 918-4342

MS. CLAIRE DAVID RN

Registered Nurse

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461

Bronx County (718) 918-5124

MS. RITIKA UTTAM MD

Student in an Organized Health Care Education/Training Program

1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

Bronx County (718) 918-5640

MR. CHRIS PENA RN

Registered Nurse

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461

Bronx County (718) 918-5124

MR. RISHABH GOYAL M.D.

Student in an Organized Health Care Education/Training Program

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER BUILDING 4, ROOM NUMBER 6511
BRONX, NEW YORK, NY 10461

Bronx County (718) 918-5000

MARIA FELIX TORRES NOLASCO M.D.

Student in an Organized Health Care Education/Training Program

1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

Bronx County (718) 918-5000

AVNI SINGH M.D.

Student in an Organized Health Care Education/Training Program

1400 PELHAM PARKWAY SOUTH
BRONX, NY 10461

Bronx County (718) 918-5642

MARLEN DANIELA FLORES RIVERA M.D.

Student in an Organized Health Care Education/Training Program

1400 PELHAM PARKWAY SOUTH, BUILDING 4, ROOM 6S11
THE BRONX, NY 10461

Bronx County (718) 918-5000

MS. FE A. ORILLAZA RN

Registered Nurse

1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER
BRONX, NY 10461

Bronx County (718) 918-7980

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.

Which organization bills Medicare for Seth Avner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Avner reassigns Medicare benefits to Medical Associates Of Englewood, PC (Englewood, NJ). 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 Avner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 Hackensack University Medical Center, 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 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.