NILE SEABORN (PA) – Physician Assistant, NPI 1033780796
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,366 PHYSICIAN ASSISTANT in MD
Provider Addresses for NILE SEABORN (PA)
1110 Annapolis Rd
Odenton, MD 211131602
Phone: (443) 351-3917
Type: Location
5965 EXCHANGE DR STE A-B
SYKESVILLE, MD 217849254
Phone: (410) 552-8126
Fax: (443) 458-7220
Type: Mailing
5963 EXCHANGE DR STE 112
SYKESVILLE, MD 217849256
Phone: (410) 552-8126
Fax: (443) 458-7220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 138 Open Payments records for all available years, with a total value of $2,420.
Total Amount is formed as General ($2,420) + Research ($0) + Ownership ($0) = $2,420.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($467).
Total Amount
$2,420
General + Research + Ownership
Payments
138
Total payment records
General Amount
$2,420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $467 |
| Novo Nordisk Inc | $390 |
| PFIZER INC. | $214 |
| AstraZeneca Pharmaceuticals LP | $179 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $93 |
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: 2022-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210924001622 | I | Physician Assistant | MD | TBD |
| I20221031001837 | I | Physician Assistant | DC | TBD |
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.
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 21113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| - | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| - | MD | |
| D E R M A T O L O G Y | MD | |
| Cardiovascular Disease (Cardiology) | MD | |
| Nurse Practitioner | MD |
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