Shawn Jay Sethi, DO
Emergency Medicine Physician · Durham, NC
Shawn Jay Sethi, DO is an emergency medicine physician with a practice address in Durham, North Carolina, and NPI 1417487067, issued on Jun 15, 2017. Check the license (North Carolina 2023-00488, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Shawn Jay Sethi
- Credential
- DO
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License numbers
- 2023-00488 NC
88042 GA
OT018093 PA
Self-reported in NPPES; status is on the state search - Practice location
- 2301 Erwin RD, Durham, NC 27710
- Phone
- (919) 684-2413
- Enumerated
- Jun 15, 2017
- Record last updated
- Jul 11, 2023
- Medicare enrollment
- Enrolled (PECOS I20230712002914); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 2,094 in North Carolina → Look up another NPI →
Also registered at 2301 Erwin RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kelly AcharyaStudent in an Organized Health Care Education/Training Program1639436371
- Shqipe Ademi, PA-CPhysician Assistant1194354928
- Sonali Advani, M.B.B.S., MPHInfectious Disease Physician1174880280
- Marilyn AkyeaPrimary Care Nurse Practitioner1760068654
- Clayton Alfonso, MDObstetrics & Gynecology Physician1790028843
- Christopher AlleyCytopathology Physician1124293972
Verify Shawn Jay Sethi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2023-00488Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
87% fewer Medicare Part D claims than the average emergency medicine physician in 2024
30 Medicare Part D claims for 22 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 92.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Duke Health Integrated Practice IncDurham, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shawn Jay Sethi among 2,094 emergency medicine physician records in North Carolina
Shawn Jay Sethi, DO is one of 2,094 emergency medicine physician records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 77% of them.
- NPI issued2017 · 77% of these records are older, 20% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2017 · median 2012 among the 1,317 with a school on file
- Record last updated2023 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
144 emergency medicine physician records list a practice address in Durham
They are 144 of the 13,451 NPPES records with a practice address in Durham, and 2,094 emergency medicine physician records in North Carolina.
All 2,094 in North Carolina → Every provider in Durham → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Joshua BroderDurham, NC 277101275616419
- Charles CairnsDurham, NC 277101164505301
- Kathleen Clem, MDDurham, NC 277101154404309
- Patrick DillonDurham, NC 277101184707333
- Charles Gerardo, M.D.Durham, NC 277101033292297
- David GordonDurham, NC 277101669555827
- Dean Harrison, M.D.Durham, NC 277101194809251
- Michael Hocker, MDDurham, NC 277101447334503
Common questions
What is Shawn Jay Sethi, DO's NPI number?
Shawn Jay Sethi, DO's National Provider Identifier (NPI) is 1417487067, issued on Jun 15, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Shawn Jay Sethi, DO located?
The NPPES record lists a practice address at 2301 Erwin RD, Durham, NC, 27710. Phone: (919) 684-2413. Providers update this record themselves, so call before visiting.
How can I verify Shawn Jay Sethi, DO's license?
NPPES lists North Carolina license number 2023-00488, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Shawn Jay Sethi, DO prescribe under Medicare Part D?
In 2024, Shawn Jay Sethi, DO had 30 Medicare Part D claims for 22 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Shawn Jay Sethi, DO's MIPS final score?
The 2023 MIPS final score is 92.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.