Michael Sethna, M.D.
NPI 1538164363 · Neurology Physician · Bloomington, MN
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Sethna, M.D. is a Neurology Physician provider in Bloomington, MN (NPI 1538164363).
Provider details
- NPI number
- 1538164363
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 40345 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
645 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 163 | $172 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 137 | $123 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 71 | $161 |
| 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 | 68 | $16 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 34 | $212 |
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 |
|---|---|---|
| Tizanidine Hcl | 327 | 114 |
| Gabapentin | 208 | 55 |
| Baclofen | 169 | 53 |
| Memantine Hcl | 159 | 52 |
| Donepezil Hcl | 140 | 55 |
| Escitalopram Oxalate | 127 | 32 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 98 | 30 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-17
- Last updated
- 2024-08-26
- Certified
- 2024-08-26
Frequently asked questions
- What is Michael Sethna's NPI number?
- Michael Sethna's National Provider Identifier (NPI) is 1538164363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Sethna's specialty?
- Michael Sethna is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Sethna located?
- Michael Sethna's practice location on file with NPPES is 3601 Minnesota Dr Ste 200, Bloomington, MN 55435-5202.
- What is Michael Sethna's phone number?
- The practice phone number listed in the NPPES registry for Michael Sethna is (612) 879-1000.
- Does Michael Sethna accept Medicare?
- Michael Sethna is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Sethna's NPI active?
- Yes — Michael Sethna's NPI (1538164363) is active in the NPPES registry as of the last update on 2024-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.