Nicole Seddon, MD
NPI 1265058630 · Family Medicine Physician · Saint Charles, MO
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Seddon, MD is a Family Medicine Physician provider in Saint Charles, MO (NPI 1265058630).
Provider details
- NPI number
- 1265058630
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2023021152 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
294 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 148 | $92 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 66 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 47 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 18 | $63 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 15 | $128 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 57 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 152 | 52 |
| Levothyroxine Sodium | 91 | 37 |
| Lisinopril | 75 | 31 |
| Amlodipine Besylate | 69 | 25 |
| Losartan Potassium | 67 | 25 |
| Alendronate Sodium | 63 | 24 |
| Metformin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 551 E Southampton DrColumbia, MO 65201-4236Phone: (573) 884-7733Fax: (573) 882-6228
Registry dates
- Enumerated
- 2020-06-22
- Last updated
- 2023-08-04
- Certified
- 2023-08-04
Frequently asked questions
- What is Nicole Seddon's NPI number?
- Nicole Seddon's National Provider Identifier (NPI) is 1265058630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Seddon's specialty?
- Nicole Seddon is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicole Seddon located?
- Nicole Seddon's practice location on file with NPPES is 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788.
- What is Nicole Seddon's phone number?
- The practice phone number listed in the NPPES registry for Nicole Seddon is (636) 498-5810.
- Does Nicole Seddon accept Medicare?
- Nicole Seddon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Seddon's NPI active?
- Yes — Nicole Seddon's NPI (1265058630) is active in the NPPES registry as of the last update on 2023-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.