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DR. JOHANNA MARGARET SEDDON MD
NPI 1699753681
Ophthalmology in Boston, MA

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
10 HAWTHORNE PL STE 106, BOSTON, MA 02114(617) 523-0955(617) 523-5376 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Oct 10, 2018, Jun 29, 2017 (3 updates tracked since 2017).

About Dr. Johanna Margaret Seddon Md NPPES

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

DR. JOHANNA MARGARET SEDDON MD (NPI 1699753681) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (38282) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699753681
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHANNA MARGARET SEDDONCredential: MD
Location Address10 HAWTHORNE PL STE 106Boston, MA 02114-2336
Mailing Address4 Louisburg SqBoston, MA 02108-1203 · (617) 943-7859 · Fax (617) 636-1124
Phone(617) 523-0955
Fax(617) 523-5376
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1974
Enumeration DateJanuary 9, 2006
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1699753681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 38282
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X · License 38282 (MA)
10 HAWTHORNE PL STE 106, Boston, MA 02114
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Secondary Practice Locations 2

Location 1New England Eye Center, 750 Washington St. #450Boston, MA 02111 · Phone (617) 636-9000 · Fax (617) 636-5844
Location 2281 Lincoln StWorcester, MA 01605-2138 · Phone (508) 334-6855 · Fax (508) 334-6795

Other Identifiers 3

Other038282MA · Tufts Health Plan
OtherB33604MA · Bcbs Ma
Medicaid6172954MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Johanna Margaret Seddon 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 ID2062309461
PECOS Enrollment IDI20040301001102
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 5

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
365 services235 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
328 services214 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
236 services56 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
27 services27 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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 Johanna Seddon's NPI number?

The NPI number for Johanna Seddon is 1699753681. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Johanna Seddon located?

Johanna Seddon practices at 10 Hawthorne Pl Ste 106, Boston, MA 02114. The listed phone number is (617) 523-0955.

What is Johanna Seddon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Johanna Seddon enrolled in Medicare?

Yes. Johanna Seddon 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 Johanna Seddon accept?

Health plans from Anthem Blue Cross and Blue Shield list Johanna Seddon 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 Johanna Seddon affiliated with any hospitals?

According to CMS data, Johanna Seddon is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Johanna Seddon was last updated on October 27, 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.