SETH EDWARD ILGENFRITZ MD
NPI 1942524756
Emergency Medicine in West Reading, PA
About Seth Edward Ilgenfritz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SETH EDWARD ILGENFRITZ MD (NPI 1942524756) is an individual emergency medicine provider in West Reading, Pennsylvania, licensed in Missouri (2012006517) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Seth Edward Ilgenfritz Md 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.
Medicare Billing Reassignments
16Medicare enrollment records show Seth Ilgenfritz reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
Bridgton, ME 04009
- Reassigned Medicare billing, Maine enrollment
- 563 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 920 clinicians in this Medicare group
Brunswick, ME 04011
- Reassigned Medicare billing, Maine enrollment
- 170 clinicians in this Medicare group
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 544 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, North Carolina enrollment
- 557 clinicians in this Medicare group
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 169 clinicians in this Medicare group
Lake Charles, LA 70601
- Reassigned Medicare billing, Louisiana enrollment
- 167 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Texas Health System
Acute Care Hospitals · Edinburg, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Ilgenfritz's NPI number?
The NPI number for Seth Ilgenfritz is 1942524756. It was assigned to this individual provider in the NPPES registry on March 23, 2010.
Where is Seth Ilgenfritz located?
Seth Ilgenfritz practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-3637.
What is Seth Ilgenfritz's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Seth Ilgenfritz enrolled in Medicare?
Yes. Seth Ilgenfritz 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.
Which organizations bill Medicare for Seth Ilgenfritz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seth Ilgenfritz reassigns Medicare benefits to 16 organizations: Tower Health Medical Group (West Reading, PA), Reading Hospital (West Reading, PA), Bridgton Hospital (Bridgton, ME), Central Maine Medical Center (Lewiston, ME), Bluewater Emergency Partners Of Brunswick, LLC (Brunswick, ME) and 11 more organizations, listed in the Medicare section above. Each 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 Ilgenfritz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Seth Ilgenfritz accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company and 2 other insurers list Seth Ilgenfritz 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 Ilgenfritz affiliated with any hospitals?
According to CMS data, Seth Ilgenfritz is affiliated with South Texas Health System.
When was this NPI record last updated?
The NPPES record for Seth Ilgenfritz was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Seth Edward Ilgenfritz, MD · NPI 1942524756
Emergency Medicine physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 23, 2010.
## Identity
- **NPI:** 1942524756 (Entity type: Individual)
- **Enumerated:** March 23, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2012006517 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611-2143
- **Phone:** (484) 628-3637
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Tower Health Medical Group (NPI 1205180726, West Reading, PA); Reading Hospital (NPI 1417533704, West Reading, PA); Bridgton Hospital (NPI 1154370153, Bridgton, ME); Central Maine Medical Center (NPI 1689653487, Lewiston, ME); Bluewater Emergency Partners Of Brunswick, LLC (NPI 1043640204, Brunswick, ME); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 9, 2026
- **Other identifiers:** Medicaid 1942524756 (MO); Other 440552485 (MO); Other P01235236 CLINIC (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1942524756) · Data from the CMS NPPES public registry.