2026 NPPES data Emergency Medicine Physician NPI 1518179100 MD
Verify on CMS →

SETH ALTHOFF, MD

Emergency Medicine Physician in PHILADELPHIA, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
182
Medicare Part D claims · 146 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$64.36
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SETH ALTHOFF, MD is a Emergency Medicine Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 182 claims across 146 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $64.36 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SETH ALTHOFF, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 182 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SETH ALTHOFF, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SETH ALTHOFF, MD at a glance

Below national average

NPI registry status

Active

Issued 05/04/2007

NPI 1518179100

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

182 48% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Emergency Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Emergency Medicine Physician share within Pennsylvania

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Pennsylvania

Medicare quality performance — MIPS

SETH ALTHOFF, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Emergency Medicine Physician) — 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SETH ALTHOFF, MD is a Emergency Medicine Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1518179100. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SETH ALTHOFF, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 5501 OLD YORK RD, PHILADELPHIA, PA, 19141, with a listed phone of (215) 456-6679. NPI 1518179100 was issued on 05/04/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALTHOFF most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 182 prescription claims written by this provider, covering 146 Medicare beneficiaries and totaling roughly $4K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 24.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Provider Details

NPI 1518179100
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 05/04/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where SETH ALTHOFF, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

GRAND VIEW EMERGENCY SPECIALISTS LLC
SELLERSVILLE, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SETH ALTHOFF, MD. Source: openpaymentsdata.cms.gov.

Total received

$64

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to SETH ALTHOFF, MD. To verify SETH ALTHOFF, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SETH ALTHOFF, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 182 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

182
Total Claims
$4K
Total Drug Cost
146
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
184
Total Day Supply
1,636
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$3K
Generic Drug Cost
$1K
Opioid Claims
44 (24.2% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.63
Gender Split
64% female / 36% male
Age Distribution
<65: 34, 65-74: 47, 75-84: 48, 85+: 17

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Acetaminophen-Codeine
Acetaminophen With Codeine
26
Cefadroxil
21
Prednisone
18
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
16
Ondansetron Odt
Ondansetron
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medicine Physician Overview

How SETH ALTHOFF, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

SETH ALTHOFF, MD's 182 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as ALTHOFF.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SETH ALTHOFF, MD's specialty?
SETH ALTHOFF, MD specializes in Emergency Medicine Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: MD.
How much does SETH ALTHOFF, MD prescribe under Medicare Part D?
In 2023, SETH ALTHOFF, MD wrote 182 Medicare Part D claims totaling $4K in drug costs for 146 beneficiaries.
What is SETH ALTHOFF, MD's Medicare quality score?
SETH ALTHOFF, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SETH ALTHOFF, MD located?
SETH ALTHOFF, MD is located at 5501 OLD YORK RD, PHILADELPHIA, PA, 19141. Phone: (215) 456-6679.
What is SETH ALTHOFF, MD's NPI number?
SETH ALTHOFF, MD's National Provider Identifier (NPI) is 1518179100, issued on 05/04/2007.
Does SETH ALTHOFF, MD prescribe more brand-name or generic drugs?
SETH ALTHOFF, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $3K in brand drug costs.
Does SETH ALTHOFF, MD prescribe opioids?
Yes, SETH ALTHOFF, MD had 44 opioid claims in 2023 with an opioid prescribing rate of 24.2%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does SETH ALTHOFF, MD prescribe most often?
Based on 2023 Medicare Part D data, SETH ALTHOFF, MD's most frequently prescribed drugs include Acetaminophen-Codeine, Cefadroxil, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SETH ALTHOFF, MD accept Medicare?
SETH ALTHOFF, MD appears in CMS Medicare data with 182 Part D claims and 146 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SETH ALTHOFF, MD's credentials?
SETH ALTHOFF, MD's NPI is 1518179100 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology