Active NPI 1407904808 Individual Practitioner Male Practitioner

Dr. Pradip Seth , DPM

Podiatrist • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pradip Seth, DPM is a certified Podiatrist practicing in Cincinnati, OH. With approximately 42 years of clinical experience since graduating from Kent State University College Of Podiatric Medicine in 1984, Dr. Seth delivers high-quality medical care to the local community at 6320 EAST KEMPER ROAD.

Dr. Seth accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, 1-5 nails, trimming of dystrophic nails, any number, removal of fingernails or toenails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6320 East Kemper Road
Suite 100

Cincinnati, OH 45241

Telephone 5134895533

Fax 5134895534

Associated Practice Facility / Clinic

🏢 Seth Podiatry Inc Facility NPI 1932251311

Medicare Profile & Education

Medical School

Kent State University College Of Podiatric Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +21.3 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

56 Specialists

Practicing in Cincinnati, OH (595 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

16.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Seth (42 Years) 42 Yrs

Cincinnati Specialty Average (20.7 Years) 20.7 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
11720 Removal of fingernails or toenails, 1-5 nails	1,493	537	$34.46	$28.73
G0127 Trimming of dystrophic nails, any number	898	374	$25.28	$19.66
11721 Removal of fingernails or toenails, 6 or more nails	155	124	$48.88	$39.25
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	61	55	$48.39	$40.72
11055 Removal of single thickened skin growth	58	31	$72.38	$61.03
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	27	25	$42.00	$36.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	1,680	581	$35.18	$31.01
G0127 Trimming of dystrophic nails, any number	894	309	$25.17	$20.93
11721 Removal of fingernails or toenails, 6 or more nails	236	158	$51.51	$41.96
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	86	73	$48.56	$42.98
11055 Removal of single thickened skin growth	56	34	$73.96	$66.69
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	48	46	$43.44	$37.83
11720 Removal of fingernails or toenails, 1-5 nails	25	19	$13.40	$13.30
11056 Removal of noncancer thickened skin growth, 2-4 growths	25	11	$85.76	$76.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	1,767	655	$33.13	$31.25
G0127 Trimming of dystrophic nails, any number	1,025	375	$25.44	$21.03
11721 Removal of fingernails or toenails, 6 or more nails	199	173	$49.32	$42.52
11055 Removal of single thickened skin growth	79	42	$65.44	$60.54
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	27	24	$63.67	$58.41
11056 Removal of noncancer thickened skin growth, 2-4 growths	27	14	$84.30	$79.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$38.11	$37.67
11720 Removal of fingernails or toenails, 1-5 nails	15	12	$17.71	$14.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	2,093	713	$33.00	$32.13
G0127 Trimming of dystrophic nails, any number	1,232	419	$26.00	$21.74
11055 Removal of single thickened skin growth	95	54	$67.84	$66.53
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	37	27	$65.00	$58.36
11056 Removal of noncancer thickened skin growth, 2-4 growths	34	21	$77.82	$76.54
11721 Removal of fingernails or toenails, 6 or more nails	30	30	$50.00	$43.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	1,858	782	$33.00	$31.78
G0127 Trimming of dystrophic nails, any number	1,175	512	$26.00	$21.77
11055 Removal of single thickened skin growth	74	50	$64.36	$59.60
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	36	31	$65.00	$59.60
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	23	19	$55.00	$43.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	11	$85.00	$43.74
11056 Removal of noncancer thickened skin growth, 2-4 growths	21	14	$73.29	$69.88
11720 Removal of fingernails or toenails, 1-5 nails	19	19	$31.03	$14.79
G0127 Trimming of dystrophic nails, any number	12	12	$26.00	$7.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	1,399	739	$33.00	$31.60
11721 Removal of fingernails or toenails, 6 or more nails	1,106	736	$50.00	$43.95
G0127 Trimming of dystrophic nails, any number	917	481	$25.96	$21.79
11055 Removal of single thickened skin growth	253	191	$54.03	$52.33
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	77	60	$65.00	$58.83
11056 Removal of noncancer thickened skin growth, 2-4 growths	65	43	$65.57	$63.29
99213 Established patient office or other outpatient visit, typically 15 minutes	20	14	$98.00	$71.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	11	$85.00	$42.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	11	$68.00	$66.99
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	12	$55.00	$42.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,089	950	$50.00	$41.35
11720 Removal of fingernails or toenails, 1-5 nails	968	515	$33.07	$29.76
G0127 Trimming of dystrophic nails, any number	802	365	$23.00	$18.72
11055 Removal of single thickened skin growth	714	385	$49.01	$43.14
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	144	102	$65.00	$55.46
11056 Removal of noncancer thickened skin growth, 2-4 growths	136	77	$59.00	$52.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	67	45	$68.00	$63.73
99213 Established patient office or other outpatient visit, typically 15 minutes	56	28	$98.00	$66.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	23	$68.00	$63.49
99335 Established patient assisted living visit, typically 25 minutes	13	12	$100.00	$87.52
11730 Simple separation of fingernail or toenail from nail bed, first nail	11	11	$185.00	$95.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	3,083	1,032	$50.00	$40.30
11055 Removal of single thickened skin growth	657	352	$49.00	$42.05
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	147	81	$65.00	$55.07
11056 Removal of noncancer thickened skin growth, 2-4 growths	108	60	$59.00	$51.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	87	58	$68.00	$62.77
99213 Established patient office or other outpatient visit, typically 15 minutes	56	22	$96.39	$65.51
11720 Removal of fingernails or toenails, 1-5 nails	30	18	$33.00	$28.61
99335 Established patient assisted living visit, typically 25 minutes	29	26	$100.00	$86.70

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36002264S

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2626313 (OH)

Commercial Insurance / Payer ID Dmerc P-Tan

5591300001 (OH)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2013

Registered at 6320 EAST KEMPER ROAD, SUITE 100, CINCINNATI, OH 45241 (Tel: 5134895533)

📍

Updated Business Mailing Address May 10, 2013

Registered at 6320 EAST KEMPER ROAD, SUITE 100, CINCINNATI, OH 45241 (Tel: 5134895533)

👤

Provider Name / Credentials Updated May 10, 2013

Recorded as PRADIP SETH, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2013

Podiatrist (License #36002264S in OH)

🟢

Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407904808

Entity Type:

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

Enumeration Date: January 08, 2007

Last Update: May 10, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6320 East Kemper Road, Suite 100

Cincinnati, OH 45241

Phone: 5134895533

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.