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DR. THEARITH SENG M.D.
NPI 1962797522
Family Medicine in Walnut Creek, CA

Active since June 12, 2011PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1450 TREAT BLVD, SUITE 160, WALNUT CREEK, CA 94597(925) 296-9000(925) 296-9071 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thearith Seng M.d. NPPES

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

DR. THEARITH SENG M.D. (NPI 1962797522) is an individual family medicine provider in Walnut Creek, California, licensed in California (A124581) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2011).

NPPES Registry Identity

NPI1962797522
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THEARITH SENGCredential: M.D.
Location Address1450 TREAT BLVD, SUITE 160Walnut Creek, CA 94597-2168
Mailing AddressDept 34929, P.o. Box 39000San Francisco, CA 94139-0001 · (925) 952-2828 · Fax (925) 952-2850
Phone(925) 296-9000
Fax(925) 296-9071
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2011
Enumeration DateJune 12, 2011
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1962797522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A124581
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1450 TREAT BLVD, Walnut Creek, CA 94597
Open in Google Maps ↗

Other Identifiers 2

Medicare PINCA137861CA
OtherP01496487CA · Railroad Medicare

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. Thearith Seng 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 ID2860714623
PECOS Enrollment IDI20141204002491
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 4

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.
207 services97 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.
34 services34 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.
12 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94597 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JASLEEN SOHAL M.D.
Family Medicine
1450 TREAT BLVD, SUITE 120B
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9720
DR. HENNESSEY TSENG M.D.
Internal Medicine (Cardiovascular Disease)
1450 TREAT BLVD, SUITE 220B
WALNUT CREEK, CA 94597
Contra Costa County (925) 937-1770
DR. DEBORAH A GREER M.D.
Family Medicine
1450 TREAT BLVD, SUITE 160
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9000
DR. RUQAYA FATIMA M.D.
Family Medicine
1450 TREAT BLVD, SUITE 160
WALNUT CREEK, CA 94597
Contra Costa County (925) 286-9000
DR. PRITI H PATEL M.D.
Family Medicine
1450 TREAT BLVD, SUITE 120B
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9720
DR. DEVORAH E BEN-ZEEV M.D.
Internal Medicine
1450 TREAT BLVD, SUITE 120A
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9720
DR. KATHLEEN SMITH M.D.
Pediatrics
1450 TREAT BLVD, SUITE 140
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9770
DR. TESSIE A OKAMURA M.D.
Pediatrics
1450 TREAT BLVD, SUITE 140
WALNUT CREEK, CA 94597
Contra Costa County (925) 296-9770

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 Thearith Seng's NPI number?

The NPI number for Thearith Seng is 1962797522. It was assigned to this individual provider in the NPPES registry on June 12, 2011.

Where is Thearith Seng located?

Thearith Seng practices at 1450 Treat Blvd Suite 160, Walnut Creek, CA 94597. The listed phone number is (925) 296-9000.

What is Thearith Seng's specialty?

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

Is Thearith Seng enrolled in Medicare?

Yes. Thearith Seng 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.

When was this NPI record last updated?

The NPPES record for Thearith Seng was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.