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DR. SAMUEL DAVID SEO D.M.D
NPI 1851772180
Dentist - General Practice in Tigard, OR

Active since June 11, 2015PECOS Enrolled
10115 SW NIMBUS AVE STE 350, TIGARD, OR 97223(503) 308-4073 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel David Seo D.m.d NPPES

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

DR. SAMUEL DAVID SEO D.M.D (NPI 1851772180) is an individual general practice provider in Tigard, Oregon, licensed in Oregon (D10247) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851772180
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMUEL DAVID SEOCredential: D.M.D
Location Address10115 SW NIMBUS AVE STE 350Tigard, OR 97223-4330
Mailing Address18650 Nw Cedar Falls LoopHillsboro, OR 97006-6083 · (404) 661-5681
Phone(503) 308-4073
Sole ProprietorNo
Enumeration DateJune 11, 2015
✔ NPI 1851772180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D10247
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10115 SW NIMBUS AVE STE 350, Tigard, OR 97223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel David Seo D.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES

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

HAOMIAO WANG DMD, MD
Dentist (Oral and Maxillofacial Surgery)
10115 SW NIMBUS AVE STE 350
PORTLAND, OR 97223
Washington County (503) 308-6592

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 Samuel Seo's NPI number?

The NPI number for Samuel Seo is 1851772180. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Samuel Seo located?

Samuel Seo practices at 10115 SW Nimbus Ave Ste 350, Tigard, OR 97223. The listed phone number is (503) 308-4073.

What is Samuel Seo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samuel Seo enrolled in Medicare?

Yes. Samuel Seo is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Seo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 3 other insurers list Samuel Seo 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 Samuel Seo was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.