SETH R. THALLER (MD) – Plastic Surgery Physician, NPI 1750347571

SETH R. THALLER (MD) is a healthcare provider. based in Miami, Florida. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. ME71049 (FL). The NPI Number for SETH R. THALLER (MD) is 1750347571

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
SETH R. THALLER (MD)
NPI
1750347571
Phone
(305) 585-1288
Address
1611 NW 12TH AVE
Enumeration Date
21 April 2006
Last Update Date
15 February 2013

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
3055471496
Graduation Year
1975 (51 years ago)
PAC ID
4587832159
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20110726000518
Address ID
FL331361005MI1611XAVEN501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

474 PLASTIC AND RECONSTRUCTIVE SURGERY in FL

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Provider Addresses for SETH R. THALLER (MD)

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    BOX 016960 M851

    MIAMI, FL 331361005

    Phone: (305) 585-1288

    Fax: (305) 243-8470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $372.

Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: AXOGEN ($125).

Total Amount

$372

General + Research + Ownership

Payments

6

Total payment records

General Amount

$372

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110726000518IPlastic And Reconstructive SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274795109View full group profile

Reviews

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Frequently asked questions

What is the standard ID for SETH R. THALLER (MD) in the U.S.?
In the U.S., SETH R. THALLER (MD) is identified by NPI 1750347571.
Is SETH R. THALLER (MD) currently accepting referrals based on NPI status?
Registry metadata lists SETH R. THALLER (MD) as active.
What does the directory say SETH R. THALLER (MD) does?
Insurance directories may phrase it differently, but here SETH R. THALLER (MD) maps to Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SETH R. THALLER (MD)?
The directory associates SETH R. THALLER (MD) with Miami, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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