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DR. USHA SETH M.D.
NPI 1982778841
Internal Medicine in Baltimore, MD

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Usha Seth M.d. NPPES

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

DR. USHA SETH M.D. (NPI 1982778841) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0043108) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Coconut Creek.

NPPES Registry Identity

NPI1982778841
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. USHA SETHCredential: M.D.
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(410) 955-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1982778841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MD · D0043108✔ Licensed in FL · ME66753
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
600 N WOLFE ST, Baltimore, MD 21287
Open in Google Maps ↗

Secondary Practice Location 1

Location 13850 Coconut Creek PkwyCoconut Creek, FL 33066-1600 · Phone (954) 973-9222 · Fax (954) 973-7135

Other Identifiers 1

Medicaid269450600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.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

Dr. Usha Seth 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 ID3678672730
PECOS Enrollment IDI20250610000072
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Usha Seth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins Community Physicians
Same address
Internal Medicine
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 952 clinicians in this Medicare group
NPI 1124629837 (410) 502-2037
Doctors First, LLC
13 mi
Internal Medicine
8600 SNOWDEN RIVER PKWY STE 207
Columbia, MD 21045
  • Reassigned Medicare billing, Maryland enrollment
  • 29 clinicians in this Medicare group
NPI 1053077263 (301) 515-2901
Doctors Health Group Of South Florida Inc
923 mi
Internal Medicine
3850 COCONUT CREEK PKWY
Coconut Creek, FL 33066
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1093723348 (954) 693-9133

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 7

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 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.
117 services52 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.
73 services40 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
52 services52 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
45 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%54 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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 Usha Seth's NPI number?

The NPI number for Usha Seth is 1982778841. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Usha Seth located?

Usha Seth practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Usha Seth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Usha Seth enrolled in Medicare?

Yes. Usha Seth 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 Usha Seth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Usha Seth reassigns Medicare benefits to 3 organizations: Johns Hopkins Community Physicians (Baltimore, MD), Doctors First, LLC (Columbia, MD) and Doctors Health Group Of South Florida Inc (Coconut Creek, FL). 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 Usha Seth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Usha Seth accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Usha Seth 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 Usha Seth affiliated with any hospitals?

According to CMS data, Usha Seth is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Usha Seth was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.