DR. SETH PATRICK HANLEY M.D.
NPI 1629339965
Anesthesiology - Pediatric Anesthesiology in Phoenix, AZ
Quality Rating: 100 out of 100 score
NPI Status: Active since June 04, 2012
- Individual
- Male
- Anesthesiology
- Pediatric Anesthesiology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About SETH HANLEY
This page provides the complete NPI Profile along with additional information for Seth Hanley, a provider established in Phoenix, Arizona with a medical specialization in Anesthesiology, focusing in pediatric anesthesiology . The healthcare provider is registered in the NPI registry with number 1629339965 assigned on June 2012. The practitioner's primary taxonomy code is 207LP3000X with license number 47694 (AZ). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1629339965
- Provider Name
- DR. SETH PATRICK HANLEY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1919 E THOMAS RD PHOENIX, AZ 85016
- Location Phone
- (602) 933-4660
- Mailing Address
- 2108 E THOMAS RD STE 130 PHOENIX, AZ 85016
- Mailing Phone
- (602) 933-1813
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2012
- Last Update Date
- 08-28-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pediatric Anesthesiology
- Taxonomy Code
- 207LP3000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 47694
- License State
- AZ
- Taxonomy Description
- An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 47694 (AZ) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
- Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
- Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
- Blue EverydayHealth Gold - MaricopaFocus Network - HMO
- Blue EverydayHealth Silver - MaricopaFocus Network - HMO
- Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - MaricopaFocus Network - HMO
- Blue StandardHealth Gold - MaricopaFocus Network - HMO
- Blue StandardHealth Silver - MaricopaFocus Network - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Seth Hanley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85016 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.71
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $31.92
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.24
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $17.31
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 100 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Participation in Joint Commission Evaluation Initiative | Yes | N/A |
| Participation in Joint Commission Ongoing Professional Practice Evaluation initiative | ||
| Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 97% | 95 |
| Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized | ||
| Pre-operative OSA assessment | 38% | 566 |
| Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA) | ||
| Use of QCDR data for ongoing practice assessment and improvements | Yes | N/A |
| Use of QCDR data, for ongoing practice assessment and improvements in patient safety. | ||
| Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
| Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). | ||
Reviews for DR. SETH PATRICK HANLEY M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 3 | 3 | 9 | 9 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 6 | 3 | 18 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 6 + 3 + 1 + 8 + 9 + 1 + 2 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1629339965 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750387171 | DR. MEHRDAD SHAFA MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 1919 E THOMAS RD DEPARTMENT OF EMERGENCY MEDICINE PHOENIX, AZ 85016 (602) 546-1900 |
| 1871584458 | DR. MARSHALL D. LUSTGARTEN M.D. Individual | Radiology (Pediatric Radiology) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1207 |
| 1982676714 | JEFFREY R BUCHHALTER M.D. Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-0970 |
| 1629040449 | CHILDRENS CRITICAL CARE ASSOCIATES, P.C. Organization | Pediatrics (Pediatric Critical Care Medicine) | 1919 E THOMAS RD SUITE 1891 PHOENIX, AZ 85016 (605) 546-1784 |
| 1124090626 | RAYMOND D ADELMAN MD Individual | Pediatrics (Pediatric Nephrology) | 1919 E THOMAS RD BLDG B DEPT OF NEPHROLOGY PHOENIX, AZ 85016 (602) 546-1000 |
| 1568435014 | PAUL V BARANKO MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1919 E THOMAS RD BLDG B DEPT OF HEMATOLOGY/ONCOLOGY PHOENIX, AZ 85016 (602) 546-1000 |
| 1528027281 | DALE A SINGER M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 1919 E THOMAS RD BLDG B PHOENIX, AZ 85016 (602) 546-1000 |
| 1629037429 | DAVID L WODRICH PH.D. Individual | Clinical Neuropsychologist | 1919 E THOMAS RD BLDG B PHOENIX, AZ 85016 (602) 546-0486 |
| 1598724395 | MATTHEW H WILKINSON M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
| 1073573200 | TERRY S WOOD M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-0486 |
| 1043271463 | JEFFREY C PROUDFOOT D.O. Individual | Pediatrics (Pediatric Emergency Medicine) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
| 1447212287 | DAPHNE E DEMELLO M.D. Individual | Pathology (Pediatric Pathology) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
| 1801858485 | TIFFANY L JOHNSON M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
| 1346202991 | THERESA A GREBE M.D. Individual | Medical Genetics (Clinical Genetics (M.D.)) | 1919 E THOMAS RD EAST BUILDING PHOENIX, AZ 85016 (602) 546-1000 |
| 1487617395 | DR. KEITH S. MEREDITH M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1919 E THOMAS RD BLDG C RM 1354 PHOENIX, AZ 85016 (602) 546-0676 |
| 1326005281 | JOAN L NEWBY MSN, RNC, NNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-0676 |
| 1114976388 | MRS. CAMILLA LIEBE MILLER NNP Individual | Nurse Practitioner (Neonatal) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1454 |
| 1922052778 | MS. MICHELLE SUZANNE DEPIETRO RN,NNP Individual | Registered Nurse (Neonatal Intensive Care) | 1919 E THOMAS RD PHOENIX CHILDREN'S HOSPITAL - NICU PHOENIX, AZ 85016 (602) 239-5166 |
| 1194741801 | BETH G RUMACK NNP Individual | Nurse Practitioner (Neonatal) | 1919 E THOMAS RD EAST BUILDING PHOENIX, AZ 85016 (602) 546-1784 |
| 1184730335 | AMY REBECCA KOLWAITE PNP Individual | Nurse Practitioner (Pediatrics) | 1919 E THOMAS RD PHOENIX, AZ 85016 (602) 546-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629339965, enumerated in the NPI registry as an "individual" on June 04, 2012
The provider is located at 1919 E Thomas Rd Phoenix, Az 85016 and the phone number is (602) 933-4660
The provider's speciality is Anesthesiology with taxonomy code 207LP3000X with a focus in Pediatric Anesthesiology
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $127.71 with an average copayment of $31.92 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 04, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.