1. Home
  2. Directory
  3. Virginia
  4. Leesburg
  5. Psychiatry Neurology
  6. NPI Profile

DR. SETH MITCHELL TUWINER M.D.
NPI 1942497235
Psychiatry & Neurology - Neurology in Leesburg, VA

Active since October 01, 2007PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
19490 SANDRIDGE WAY, SUITE 260, LEESBURG, VA 20176(703) 293-5244(703) 858-5323 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Nov 29, 2022, Sep 28, 2022 and 2 more (5 updates tracked since 2020).

About Dr. Seth Mitchell Tuwiner M.d. NPPES

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

DR. SETH MITCHELL TUWINER M.D. (NPI 1942497235) is an individual neurology provider in Leesburg, Virginia, licensed in Virginia (0101238848) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1942497235
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SETH MITCHELL TUWINERCredential: M.D.
Location Address19490 SANDRIDGE WAY, SUITE 260Leesburg, VA 20176-8425
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Phone(703) 293-5244
Fax(703) 858-5323
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 1, 2007
Last NPPES UpdateFebruary 20, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1942497235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in VA · 0101238848
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
19490 SANDRIDGE WAY, SUITE 260, Leesburg, VA 20176
Open in Google Maps ↗

Other Identifiers 3

Medicaid30015954450001VA
OtherP01000275VA · Railroad Medicare
Medicaid1942497235VA

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 Mitchell Tuwiner M.d. 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 ID8628154325
PECOS Enrollment IDI20080408000219
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.

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.
244 services150 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.
153 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 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.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

LOUDOUN MEDICAL GROUP, PC
Psychiatry & Neurology (Neurology)
19490 SANDRIDGE WAY, SUITE 260
LEESBURG, VA 20176
Loudoun County (703) 293-5244

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 Tuwiner's NPI number?

The NPI number for Seth Tuwiner is 1942497235. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Seth Tuwiner located?

Seth Tuwiner practices at 19490 Sandridge Way, Suite 260, Leesburg, VA 20176. The listed phone number is (703) 293-5244.

What is Seth Tuwiner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Seth Tuwiner enrolled in Medicare?

Yes. Seth Tuwiner 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 Tuwiner affiliated with any hospitals?

According to CMS data, Seth Tuwiner is affiliated with Inova Loudoun Hospital.

When was this NPI record last updated?

The NPPES record for Seth Tuwiner was last updated on February 20, 2024. 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.