SETH E. ENTERLINE PA
NPI 1700166428
Physician Assistant - Surgical in Gainesville, GA

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
1211 SHERWOOD PARK DR NE STE A, GAINESVILLE, GA 30501(770) 219-3202 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2020, Jan 4, 2019 (2 updates tracked since 2019).

About Seth E. Enterline Pa NPPES

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

SETH E. ENTERLINE PA (NPI 1700166428) is an individual surgical provider in Gainesville, Georgia, licensed in Georgia (007478) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of University Of Nebraska College Of Medicine (2012).

NPPES Registry Identity

NPI1700166428
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSETH E. ENTERLINECredential: PA
Location Address1211 SHERWOOD PARK DR NE STE AGainesville, GA 30501-3444
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2012
Enumeration DateAugust 25, 2011
Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
NPI 1700166428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in GA · 007478
Also ListedPhysician AssistantTaxonomy 363A00000X · License 7478 (GA)
1211 SHERWOOD PARK DR NE STE A, Gainesville, GA 30501

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 E. Enterline Pa 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 ID244549384
PECOS Enrollment IDI20151012002212
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 6

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.

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.
38 services38 patients
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.
29 services27 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.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
17 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Surgery (Surgical Critical Care)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Orthopaedic Surgery (Orthopaedic Trauma)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Physician Assistant (Medical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Physician Assistant
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501

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 Enterline's NPI number?

The NPI number for Seth Enterline is 1700166428. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Seth Enterline located?

Seth Enterline practices at 1211 Sherwood Park Dr NE Ste A, Gainesville, GA 30501. The listed phone number is (770) 219-3202.

What is Seth Enterline's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Seth Enterline enrolled in Medicare?

Yes. Seth Enterline 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.

Is Seth Enterline affiliated with any hospitals?

According to CMS data, Seth Enterline is affiliated with Northeast Georgia Medical Center, Inc, Union General Hospital and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Seth Enterline was last updated on October 15, 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.