2026 NPPES data Hospitalist Physician NPI 1548305451 MD
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SETH FLAGG, MD

Hospitalist Physician in UPPER MARLBORO, Maryland. 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
2K
Medicare Part D claims · 111 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: SETH FLAGG, MD is a Hospitalist Physician ([object Object]) practicing in UPPER MARLBORO, Maryland with a Medicare Part D prescribing footprint of 2K claims across 111 beneficiaries — 18% brand-name prescribing .

What stands out: SETH FLAGG, MD filed 1,833 Medicare Part D claims in 2023 across UPPER MARLBORO, Maryland. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

SETH FLAGG, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/20/2007

NPI 1548305451

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

1,833 106% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Maryland

How Hospitalist Physician compares to other specialties among Maryland providers

Maryland providers

Hospitalist Physician share within Maryland

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Maryland

Specialty board-certification context

Estimated specialty board-certified rate — Hospitalist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hospitalist Physician ABMS/AOA estimate

Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

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 FLAGG, MD is a Hospitalist Physician provider practicing in UPPER MARLBORO, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1548305451. 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 FLAGG, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 1221 MERCANTILE LN, UPPER MARLBORO, MD, 20774, with a listed phone of (240) 672-3190. NPI 1548305451 was issued on 02/20/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FLAGG 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 1,833 prescription claims written by this provider, covering 111 Medicare beneficiaries and totaling roughly $130K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 4.4%. 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.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

1221 MERCANTILE LN
UPPER MARLBORO, MD 20774

Provider Details

NPI 1548305451
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 02/20/2007

Hospital and facility affiliations

Facilities where SETH FLAGG, 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.

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
LARGO, MD

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

Brand vs generic prescribing mix · Typical

SETH FLAGG, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 1,833 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.

1,833
Total Claims
$130K
Total Drug Cost
111
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,832
Total Day Supply
110,439
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$92K
Generic Drug Cost
$38K
Opioid Claims
80 (4.4% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
3.96
Gender Split
53% female / 47% male
Age Distribution
<65: 21, 65-74: 35, 75-84: 40, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
141
Pantoprazole Sodium
81
Furosemide
78
Amlodipine Besylate
55
Lactulose
55
Metoprolol Tartrate
55
Gabapentin
52
Losartan Potassium
51
Potassium Chloride
47
Albuterol Sulfate Hfa
Albuterol Sulfate
44

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

Hospitalist Physician Overview

How SETH FLAGG, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

SETH FLAGG, MD's 1,833 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in Maryland

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SETH FLAGG, MD's specialty?
SETH FLAGG, MD specializes in Hospitalist Physician and practices in UPPER MARLBORO, Maryland. Credentials: MD.
How much does SETH FLAGG, MD prescribe under Medicare Part D?
In 2023, SETH FLAGG, MD wrote 1,833 Medicare Part D claims totaling $130K in drug costs for 111 beneficiaries.
Where is SETH FLAGG, MD located?
SETH FLAGG, MD is located at 1221 MERCANTILE LN, UPPER MARLBORO, MD, 20774. Phone: (240) 672-3190.
What is SETH FLAGG, MD's NPI number?
SETH FLAGG, MD's National Provider Identifier (NPI) is 1548305451, issued on 02/20/2007.
Does SETH FLAGG, MD prescribe more brand-name or generic drugs?
SETH FLAGG, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $92K in brand drug costs.
Does SETH FLAGG, MD prescribe opioids?
Yes, SETH FLAGG, MD had 80 opioid claims in 2023 with an opioid prescribing rate of 4.4%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does SETH FLAGG, MD prescribe most often?
Based on 2023 Medicare Part D data, SETH FLAGG, MD's most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SETH FLAGG, MD accept Medicare?
SETH FLAGG, MD appears in CMS Medicare data with 1,833 Part D claims and 111 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SETH FLAGG, MD's credentials?
SETH FLAGG, MD's NPI is 1548305451 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.
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