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EDWARD A SEALL M.D.
NPI 1972522381
Emergency Medicine in Lafayette, IN

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
114 EXECUTIVE DR, SUITE E, LAFAYETTE, IN 47905(765) 446-0170(260) 407-8004 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward A Seall M.d. NPPES

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

EDWARD A SEALL M.D. (NPI 1972522381) is an individual emergency medicine provider in Lafayette, Indiana, licensed in Indiana (01051337A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Monroe Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1998).

NPPES Registry Identity

NPI1972522381
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameEDWARD A SEALLCredential: M.D.
Location Address114 EXECUTIVE DR, SUITE ELafayette, IN 47905-4883
Mailing Address114 Executive Dr, Suite ELafayette, IN 47905-4883 · (765) 446-0170 · Fax (260) 407-8004
Phone(765) 446-0170
Fax(260) 407-8004
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1998
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 22, 2009
✔ NPI 1972522381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01051337A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
114 EXECUTIVE DR, Lafayette, IN 47905
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Other Identifiers 6

Medicare PIN809640AAIN
Medicare PIN930092785IN
Medicare PINP00273856IN
Medicaid200279810IN
Medicare PIN226540JIN
Medicare UPINH16650

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Edward A Seall 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 ID2769472075
PECOS Enrollment IDI20040517001487
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
135 services129 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
84 services83 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
69 services67 patients
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.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Monroe Hospital

Acute Care Hospitals · Bloomington, IN
OwnershipProprietary
CMS Certification Number150183
Location4011 S Monroe Medical Park BlvdBloomington, IN 47403 · Monroe County
Emergency services

Pulaski Memorial Hospital

Critical Access Hospitals · Winamac, IN
OwnershipVoluntary non-profit - Other
CMS Certification Number151305
Location616 E 13th StWinamac, IN 46996 · Pulaski County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. TRAVIS R JONES D.D.S.
Dentist (General Practice)
114 EXECUTIVE DR, SUITE B
LAFAYETTE, IN 47905
Tippecanoe County (765) 447-2725
UNITY HEALTHCARE, LLC
Internal Medicine (Nephrology)
114 EXECUTIVE DR, SUITE A
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5185
DR. HEATH W JONES D.D.S.
Dentist (General Practice)
114 EXECUTIVE DR, SUITE B
LAFAYETTE, IN 47905
Tippecanoe County (765) 447-2725
CHRISTOPHER BRANDENBURG M.D.
Emergency Medicine
114 EXECUTIVE DR, SUITE E
LAFAYETTE, IN 47905
Tippecanoe County (260) 407-8000
PAUL Y SHIN MD
Internal Medicine (Nephrology)
114 EXECUTIVE DR, SUITE A
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5185

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 Edward Seall's NPI number?

The NPI number for Edward Seall is 1972522381. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Edward Seall located?

Edward Seall practices at 114 Executive Dr Suite E, Lafayette, IN 47905. The listed phone number is (765) 446-0170.

What is Edward Seall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Edward Seall enrolled in Medicare?

Yes. Edward Seall 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.

What insurance does Edward Seall accept?

Health plans from CareSource list Edward Seall 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 Edward Seall affiliated with any hospitals?

According to CMS data, Edward Seall is affiliated with Monroe Hospital and Pulaski Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edward Seall was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.