DR. SAMUEL K SETO (M.D.) – Ophthalmology Physician, NPI 1144300542

DR. SAMUEL K SETO (M.D.) is a healthcare provider. based in Edmonds, Washington. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00032689 (WA). The NPI Number for DR. SAMUEL K SETO (M.D.) is 1144300542

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL K SETO (M.D.)
NPI
1144300542
Phone
(425) 774-7723
Address
21911 76TH AVE W
Enumeration Date
17 October 2006
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
4257747723
Graduation Year
1991 (35 years ago)
PAC ID
5991695058
Group Practice PAC ID
5294625356
Professional Enrollment ID
I20120127000243
Address ID
WA980267918ED21911WXXX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

466 OPHTHALMOLOGY in WA

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Provider Addresses for DR. SAMUEL K SETO (M.D.)

  • 21911, 76th Avenue West, Edmonds, Snohomish County, Washington, 98026, United States

    SUITE 101

    EDMONDS, WA 980267903

    Phone: (425) 774-7723

    Fax: (425) 778-2788

    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 12 Open Payments records for all available years, with a total value of $600.

Total Amount is formed as General ($600) + Research ($0) + Ownership ($0) = $600.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Alcon Vision LLC ($561).

Total Amount

$600

General + Research + Ownership

Payments

12

Total payment records

General Amount

$600

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$561
ABBVIE INC.$39
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: 2012-01-27

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
I20120127000243IOphthalmologyWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes471336$0
99213Established patient office or other outpatient visit, 20-29 minutes221128$0
92250Photography of the retina170163$0
92134Imaging of retina133124$0
92014Established patient complete exam of visual system11296$0
View full utilization report →

Insurance plans in this area (ZIP 98026)

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Provider's Procedures

DR. SAMUEL K SETO (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYWA92012Eye and medical examination for diagnosis and treatment, established patient10578
OPHTHALMOLOGYWA92083Measurement of field of vision during daylight conditions146139
OPHTHALMOLOGYWA92134Diagnostic imaging of retina8985

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: 5294625356View full group profile
NameSpecialtyState
-WA
O P H T H A L M O L O G YWI

Reviews

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Frequently asked questions

How is DR. SAMUEL K SETO (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. SAMUEL K SETO (M.D.) with NPI 1144300542.
Is DR. SAMUEL K SETO (M.D.) listed as active for patients and plans?
The listing shows DR. SAMUEL K SETO (M.D.) as active in the NPI system.
What is DR. SAMUEL K SETO (M.D.)'s specialty?
The listing groups DR. SAMUEL K SETO (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does DR. SAMUEL K SETO (M.D.) list a practice location?
Patients near Edmonds, Washington may find DR. SAMUEL K SETO (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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