DR. SETH AARON STAMBAUGH DO
NPI 1730706219
Family Medicine in Durant, OK

Active since June 30, 2020PECOS EnrolledAccepts Medicare Assignment
1600 W UNIVERSITY BLVD, DURANT, OK 74701(580) 924-5500 Get Directions Write a Review

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

Record update history: Nov 17, 2023, Oct 6, 2021, Sep 22, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Seth Aaron Stambaugh Do NPPES

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

DR. SETH AARON STAMBAUGH DO (NPI 1730706219) is an individual family medicine provider in Durant, Oklahoma, licensed in Oklahoma (7395) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730706219
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SETH AARON STAMBAUGHCredential: DO
Location Address1600 W UNIVERSITY BLVDDurant, OK 74701-3094
Mailing Address1600 W University BlvdDurant, OK 74701-3094
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 30, 2020
Last NPPES UpdateNovember 17, 20234 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
NPI 1730706219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 7395
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 7395 (OK)
Also ListedHospitalistTaxonomy 208M00000X · License 7395 (OK)
1600 W UNIVERSITY BLVD, Durant, OK 74701

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

Dr. Seth Aaron Stambaugh Do 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 ID6507273125
PECOS Enrollment IDI20210916001855
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.

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.
163 services107 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.
100 services96 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.
63 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services38 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.
34 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Alliancehealth Durant

Acute Care Hospitals · Durant, OK
1/5 CMS rating
OwnershipProprietary
CMS Certification Number370014
Location1800 University BoulevardDurant, OK 74702 · Bryan County
Emergency services Birthing friendly

Atoka County Medical Center

Critical Access Hospitals · Atoka, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371300
Location1590 West Liberty RoadAtoka, OK 74525 · Atoka County
Emergency services

Alliancehealth Madill

Critical Access Hospitals · Madill, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number371326
Location901 S 5th AveMadill, OK 73446 · Marshall County
Emergency services

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74701 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Speech-Language Pathologist
1600 W UNIVERSITY BLVD
DURANT, OK 74701
Family Medicine
1600 W UNIVERSITY BLVD
DURANT, OK 74701
Family Medicine
1600 W UNIVERSITY BLVD
DURANT, OK 74701
Specialist/Technologist (Speech-Language Assistant)
1600 W UNIVERSITY BLVD
DURANT, OK 74701
Family Medicine
1600 W UNIVERSITY BLVD
DURANT, OK 74701
Family Medicine
1600 W UNIVERSITY BLVD
DURANT, OK 74701
Family Medicine
1600 W UNIVERSITY BLVD
DURANT, OK 74701
Occupational Therapy Assistant
1600 W UNIVERSITY BLVD
DURANT, OK 74701

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 Stambaugh's NPI number?

The NPI number for Seth Stambaugh is 1730706219. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Seth Stambaugh located?

Seth Stambaugh practices at 1600 W University Blvd, Durant, OK 74701. The listed phone number is (580) 924-5500.

What is Seth Stambaugh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Seth Stambaugh enrolled in Medicare?

Yes. Seth Stambaugh 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 Stambaugh accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Seth Stambaugh 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 Stambaugh affiliated with any hospitals?

According to CMS data, Seth Stambaugh is affiliated with Alliancehealth Durant, Atoka County Medical Center, Alliancehealth Madill and Texoma Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Stambaugh was last updated on November 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.