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DR. SETH BRANAHL M.D.
NPI 1801216940
Pediatrics in Meridian, ID

Active since April 16, 2014PECOS Enrolled
83.32/100
CMS Quality Rating
520 S EAGLE RD STE 2209, MERIDIAN, ID 83642(208) 706-6400(208) 706-6402 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Seth Branahl M.d. NPPES

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

DR. SETH BRANAHL M.D. (NPI 1801216940) is an individual pediatrics provider in Meridian, Idaho, licensed in Idaho (M-13850) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801216940
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SETH BRANAHLCredential: M.D.
Location Address520 S EAGLE RD STE 2209Meridian, ID 83642-6354
Mailing Address100 E Idaho St Ste 401Boise, ID 83712-6267 · (208) 514-6534
Phone(208) 706-6400
Fax(208) 706-6402
Sole ProprietorYes
Enumeration DateApril 16, 2014
Last NPPES UpdateJuly 21, 2022
✔ NPI 1801216940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · M-13850
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
520 S EAGLE RD STE 2209, Meridian, ID 83642
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Seth Branahl M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Branahl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
8.1 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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 Branahl's NPI number?

The NPI number for Seth Branahl is 1801216940. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Seth Branahl located?

Seth Branahl practices at 520 S Eagle Rd Ste 2209, Meridian, ID 83642. The listed phone number is (208) 706-6400.

What is Seth Branahl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Seth Branahl enrolled in Medicare?

Yes. Seth Branahl is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Seth Branahl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Branahl reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Branahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Branahl accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Seth Branahl 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.

When was this NPI record last updated?

The NPPES record for Seth Branahl was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.