Nicole Seddon, MD
NPI 1265058630ActiveIndividual· Family Medicine· Saint Charles, MO
Family Medicine (MD) with Ssm Medical Group Inc, practicing in Saint Charles, Missouri. Their prescriptions cost Medicare Part D more than their services did: $176,088 for 2,317 claims, against $19,859 paid for services in 2024. Exact Sciences Corporation reported $13.32 in payments in 2024, mostly food and beverage. Lists Mercy Hospital St Louis and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1265058630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 22, 2020 |
| Last updated in NPPES | Aug 4, 2023 |
| Certified by provider | Aug 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2023021152 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 89 |
|---|---|
| Services billed | 324 across 15 procedure codes |
| Paid by Medicare | $19,859 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,317 · 5,349 30-day fills |
|---|---|
| Patients | 324 |
| Total drug cost | $176,088 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Ssm Medical Group IncSaint Charles, MO · 568 clinicians
Hospital affiliations
- Mercy Hospital St LouisSaint Louis, MO
- Ssm Health Depaul Hospital St LouisBridgeton, MO
- Ssm St Joseph Health CenterSaint Charles, MO
- Ssm St Joseph Hospital WestLake Saint Louis, MO
Other facilities
- Ssm Health Rehabilitation HospitalInpatient rehabilitation facility · Richmond Heights, MO
Industry payments (Open Payments)
- 2024$13.32 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $13.32 | 1 |
What the 2024 payments were for
- Food and Beverage$13.32 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in Saint Charles
- 1104276310
- 1114964574
- 1164633111
- 1275864712
- 1285710665
- 1326086893
- 1427623370
- 1578530945
- 1588015424
- 1639583073
- 1710192471
- 1720492028
All 27 family medicine physicians in Saint Charles · All family medicine physicians in Missouri