Dr. Seth Cohen, MD
2100 Erwin Road, Durham, NC 27710 • +1-549-555-3695
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1366474082 • CBSA Regional • Otolaryngology
Statistical peer benchmarking across NC Otolaryngology providers positions Dr. Seth Cohen, MD in Durham at -0.38σ (50th city percentile / 39.89th state percentile, 503 Medicare beneficiaries), with clinical focus spanning 33 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Cohen (averaging 2.7 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (456 encounters), paired with 31231 (335x).
Cash-pay intake data for NPI 1366474082 (2100 Erwin Road, Durham) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 12-minute average reception wait and 4.81/5 biomarker openness.
Clinical background for Dr. Cohen (MD, NPI #1366474082) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across NC.
Compared against Durham, NC Otolaryngology peers
1,340 annual services across 503 beneficiaries
Standard deviations from NC Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 456 | 50th | $167 – $229 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 335 | 55th | $336 – $461 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 255 | 47th | $245 – $336 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 174 | 47th | $118 – $162 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 121 | 51th | $105 – $144 |
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Dr. Seth Cohen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cohen National Provider Identifier | NPI #1366474082 (MD) | CMS NPPES Registry (27710) |
| Dr. Cohen Durham CMS Volume Rank | 50.00th Pct (1,340 CMS svcs; Z -0.384σ) | CMS Medicare Part B (NC Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Durham, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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