Active NPI 1720079940 Individual Practitioner Male Practitioner

Dr. Seth D Rayburn , MD

Surgery • Athens, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Seth Rayburn, MD is a certified Surgery practicing in Athens, AL. With approximately 27 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 1999, Dr. Rayburn delivers high-quality medical care to the local community at 707 W MARKET ST STE C.

Dr. Rayburn accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

707 W Market St Ste C

Athens, AL 356112463

Telephone 2562166500

Fax 2562168777

Associated Practice Facility / Clinic

🏢 Seth D Rayburn Md Pc Facility NPI 1811048879

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Athens, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +8.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Athens, AL (471 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rayburn (27 Years) 27 Yrs

Athens Specialty Average (18.5 Years) 18.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	82	$155.00	$116.96
99213 Established patient office or other outpatient visit, typically 15 minutes	103	70	$109.00	$83.33
99213 Established patient office or other outpatient visit, typically 15 minutes	89	23	$109.00	$61.56
11042 Removal of skin and tissue, 20.0 sq cm or less	84	31	$224.00	$54.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$200.00	$151.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	19	$155.00	$90.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	24	$125.00	$111.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	42	$420.00	$68.10
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	43	42	$745.00	$129.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$250.00	$162.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	11	$90.00	$73.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$200.00	$124.37
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	17	16	$856.47	$246.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$807.00	$167.18
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$585.00	$153.70
45380 Biopsy of large bowel using an endoscope	11	11	$660.00	$121.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	93	$155.00	$117.03
99213 Established patient office or other outpatient visit, typically 15 minutes	117	35	$109.00	$61.85
99213 Established patient office or other outpatient visit, typically 15 minutes	93	71	$109.00	$82.52
11042 Removal of skin and tissue, 20.0 sq cm or less	89	31	$224.00	$54.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$200.00	$150.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	23	$125.00	$112.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	51	51	$425.00	$70.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	30	$155.00	$89.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$250.00	$164.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$198.00	$125.82
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	30	30	$745.00	$139.41
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	29	16	$422.41	$135.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	15	$85.00	$48.20
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$600.00	$171.21
97597 Removal of tissue from wound, 20.0 sq cm or less	15	12	$102.50	$30.44
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$585.00	$170.65
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	13	13	$860.00	$251.28
45380 Biopsy of large bowel using an endoscope	11	11	$660.00	$123.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	89	$155.00	$121.27
11042 Removal of skin and tissue, 20.0 sq cm or less	125	32	$224.00	$55.31
99213 Established patient office or other outpatient visit, typically 15 minutes	119	32	$108.59	$64.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	101	39	$125.00	$98.24
99213 Established patient office or other outpatient visit, typically 15 minutes	78	65	$109.00	$85.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$200.00	$157.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	61	58	$420.00	$60.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	22	$155.00	$93.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$250.00	$190.04
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	39	19	$417.31	$138.41
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	32	32	$745.00	$141.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$200.00	$130.64
45380 Biopsy of large bowel using an endoscope	20	20	$657.00	$116.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	12	$85.00	$49.83
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	17	17	$860.00	$260.46
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$600.00	$177.85
47562 Removal of gallbladder using an endoscope	11	11	$1615.00	$614.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	313	11	$49.94	$26.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	117	$154.88	$125.26
11042 Removal of skin and tissue, 20.0 sq cm or less	115	38	$224.00	$58.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	114	43	$124.74	$101.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$200.80	$161.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	76	72	$436.78	$76.50
99213 Established patient office or other outpatient visit, typically 15 minutes	65	61	$109.00	$83.99
99213 Established patient office or other outpatient visit, typically 15 minutes	55	24	$104.25	$65.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	47	$250.00	$196.03
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	49	47	$744.08	$106.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	21	$150.29	$97.19
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	31	29	$849.77	$267.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$200.00	$113.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	14	$807.00	$144.95
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$600.00	$182.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	103	$147.42	$102.75
11042 Removal of skin and tissue, 20.0 sq cm or less	94	33	$224.00	$59.48
99213 Established patient office or other outpatient visit, typically 15 minutes	87	79	$104.48	$67.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$199.04	$153.98
99213 Established patient office or other outpatient visit, typically 15 minutes	76	30	$105.00	$49.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	31	$104.32	$98.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	68	$441.25	$84.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	49	$250.00	$198.71
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	31	31	$740.32	$149.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	25	$146.45	$77.37
45378 Diagnostic exam of large bowel using a flexible endoscope	28	27	$599.47	$179.02
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	25	25	$849.60	$269.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$190.50	$122.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$85.00	$50.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	181	52	$149.17	$48.55
11042 Removal of skin and tissue, 20.0 sq cm or less	169	54	$221.98	$56.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	169	61	$137.72	$98.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	127	$168.89	$100.21
99213 Established patient office or other outpatient visit, typically 15 minutes	117	109	$150.17	$68.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$236.81	$150.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	85	83	$802.21	$74.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	73	$237.92	$191.88
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	45	45	$1052.88	$152.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	30	$166.14	$74.46
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	41	13	$43.90	$24.96
97597 Removal of tissue from wound, 20.0 sq cm or less	39	23	$113.27	$22.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$240.00	$122.18
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	30	29	$1022.74	$261.11
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$898.11	$175.29
45380 Biopsy of large bowel using an endoscope	18	18	$1030.00	$148.81
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	18	12	$339.94	$146.37
17250 Application of chemical to stop tissue regrowth in wound	17	12	$78.24	$32.29
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	12	12	$126.15	$25.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	362	100	$140.00	$93.09
99213 Established patient office or other outpatient visit, typically 15 minutes	199	69	$149.55	$45.50
11042 Removal of skin and tissue, 20.0 sq cm or less	160	63	$221.79	$53.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	113	$170.00	$94.68
99213 Established patient office or other outpatient visit, typically 15 minutes	127	107	$150.16	$62.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	99	$230.47	$180.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$255.77	$144.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	77	71	$980.00	$86.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	34	$170.38	$69.58
45378 Diagnostic exam of large bowel using a flexible endoscope	43	42	$1060.00	$151.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$237.00	$114.67
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	35	22	$332.86	$131.78
97597 Removal of tissue from wound, 20.0 sq cm or less	29	26	$128.97	$21.82
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	25	24	$1116.80	$245.33
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$1210.00	$196.28
17250 Application of chemical to stop tissue regrowth in wound	17	13	$90.00	$31.76
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	13	12	$140.00	$23.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	254	97	$140.00	$95.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	135	$170.03	$94.44
99213 Established patient office or other outpatient visit, typically 15 minutes	160	148	$150.00	$64.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$252.80	$145.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	98	91	$972.55	$81.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	87	$201.37	$183.98
11042 Removal of skin and tissue, 20.0 sq cm or less	82	40	$218.44	$53.35
99213 Established patient office or other outpatient visit, typically 15 minutes	67	36	$148.66	$45.88
45378 Diagnostic exam of large bowel using a flexible endoscope	49	49	$1060.00	$171.82
99183 Management and supervision of oxygen chamber therapy per session	36	12	$430.00	$100.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	23	$170.61	$68.39
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	32	31	$1105.94	$243.71
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	31	13	$40.00	$23.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$245.42	$117.73
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	24	24	$1210.00	$164.26
97597 Removal of tissue from wound, 20.0 sq cm or less	23	19	$120.00	$20.57
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	23	16	$324.35	$135.18
11042 Removal of skin and tissue, 20.0 sq cm or less	20	11	$224.00	$97.64
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	18	18	$140.00	$22.32

Medical Specialties & State Licenses

CMS Verified: 2025-03-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 23684

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

009932649 (AL)

Commercial Insurance / Payer ID Npi

1720079940 (AL)

Commercial Insurance / Payer ID Bcbs Of Al

051001883 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Paul Noel , MD

Surgery

NPI 1093706210

Doctor of Medicine (M.D.)

Dr. Cassidy Koonce , MD

Surgery

NPI 1376854976

Doctor of Medicine (M.D.)

Dr. Katie Vines , MD

Surgery

NPI 1477181931

Doctor of Medicine (M.D.)

Dr. Philippe Tranqui , MD

Surgery

NPI 1831118041

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 21, 2025

Registered at 707 W MARKET ST STE C, ATHENS, AL 356112463 (Tel: 2562166500)

📍

Updated Business Mailing Address March 21, 2025

Registered at PO BOX 630, ATHENS, AL 356120630 (Tel: 2562166500)

✅

NPI Profile Active May 25, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 25, 2010

Registered at 201 N MALONE ST, ATHENS, AL 356111509 (Tel: 2562166500)

📍

Updated Business Mailing Address May 25, 2010

Registered at 201 N MALONE ST, ATHENS, AL 356111509 (Tel: 2562166500)

👤

Provider Name / Credentials Updated May 25, 2010

Recorded as SETH RAYBURN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2010

Surgery (License #23684 in AL)

🟢

Initial NPI Registration & Enumeration November 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720079940

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 04, 2005

Last Update: March 21, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 630

Athens, AL 356120630

Phone: 2562166500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.