DR. SETH M EGELSTON D.O.
NPI 1972550002
Family Medicine in Battle Creek, MI
About Dr. Seth M Egelston D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SETH M EGELSTON D.O. (NPI 1972550002) is an individual family medicine provider in Battle Creek, Michigan, licensed in Michigan (013731) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bronson Battle Creek Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1995).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 3
Accepted 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
Dr. Seth M Egelston D.o. 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.
Areas of Expertise CMS Part B claims 9
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bronson Battle Creek Hospital
Acute Care Hospitals · Battle Creek, MIOaklawn Hospital
Acute Care Hospitals · Marshall, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BATTLE CREEK, MI 49017
BATTLE CREEK, MI 49017
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 Egelston's NPI number?
The NPI number for Seth Egelston is 1972550002. It was assigned to this individual provider in the NPPES registry on May 26, 2006.
Where is Seth Egelston located?
Seth Egelston practices at 327 Capital Ave NE, Battle Creek, MI 49017. The listed phone number is (269) 969-6040.
What is Seth Egelston's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Seth Egelston enrolled in Medicare?
Yes. Seth Egelston 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 Seth Egelston accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Seth Egelston 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 Egelston affiliated with any hospitals?
According to CMS data, Seth Egelston is affiliated with Bronson Battle Creek Hospital and Oaklawn Hospital.
When was this NPI record last updated?
The NPPES record for Seth Egelston was last updated on October 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
