Dr. Seth Hall Criner, DO
- Medicare services, 2024
- 3,888
- Medicare patients, 2024
- 788
- Part D claims, 2024
- 430
- MIPS score, 2024
- 74
- Hospital affiliations
- 3
- Practice address
- 820 S Akers St, Visalia, CA 93277
- Practice phone
- Call (559) 625-4118
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
South Valley Surgery Center LLC
Visalia, California
Find Dr. Criner's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Seth Hall Criner is an orthopedic surgeon in Visalia, California
Dr. Criner practices at South Valley Surgery Center LLC in Visalia, California.
Dr. Criner's NPI, 1972824100, was assigned on June 22, 2010. Dr. Criner graduated from WesternU College of Osteopathic Medicine of the Pacific in 2010. Dr. Criner holds California license 20A13237.
- NPI
- 1972824100NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0244549772
- NPI enumeration date
- June 22, 2010
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (559) 625-4118
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 42
- Medical school graduation
- 2010
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Seth Hall Criner practices at South Valley Surgery Center LLC in Visalia, California
Dr. Criner's primary practice is South Valley Surgery Center LLC, at 820 S Akers St, Visalia, CA 93277 in Tulare County. The practice phone is (559) 625-4118.
- South Valley Surgery Center LLC820 S Akers St, Visalia, CA 93277 · Tulare CountyPhone(559) 625-4118
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Seth Hall Criner is affiliated with 8 sites of care and 2 medical groups
Dr. Criner's primary practice is South Valley Surgery Center LLC in Visalia, California. Dr. Criner is also affiliated with Kaweah Health Medical Center. The medical group on file is Orthopaedic Associates Medical Clinic. Dmand AI also links Dr. Criner to 2 more hospitals, 2 group practices and clinics, 2 home health agencies and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Seth Hall Criner's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Criner practices, 7 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| South Valley Surgery Center LLC | Available with a free account |
| +7 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Seth Hall Criner is one of 2,056 orthopedic surgeons in California
Orthopaedic surgery is Dr. Criner's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Criner is board certified in orthopedic surgery by the AOA Board of Orthopedic Surgery. Dr. Criner is licensed in California.
Specialties and state licenses
- Orthopaedic surgery, CaliforniaPrimary
Clinical focus
Dmand AI lists arm, wrist, hand fracture and dislocation, arthritis, bursitis, carpal tunnel syndrome, enthesopathy in arms, hand joint or tendon inflammation, hip replacement and joint pain among the conditions Dr. Criner treats.
Orthopedic surgeons near Dr. Criner
Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Seth Hall Criner billed Medicare for 3,888 services in 2024
CMS data shows 3,888 Medicare services from Dr. Criner across 25 procedure codes in 2024, for 788 Medicare patients. Medicare paid $285,776 for them.
Dr. Criner's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Drugs given in the office
- 2023: 4182024: 1,420240%
- Office and hospital visits
- 2023: 8812024: 1,39558%
- Surgery
- 2023: 3842024: 65871%
- Imaging
- 2023: 3632024: 41514%
Where Dr. Criner's Medicare services took place, 2024
- In an office3,72496%
- In a facility1644%
Dr. Criner compared with the California median for orthopedic surgeons, 2024
- Dr. Criner
- California median
- Medicare services
- 3,888vs 6835.7 times
- Medicare patients
- 788vs 2153.7 times
- Part D claims
- 374vs 705.3 times
Medians across 1,844 orthopedic surgeons in California with Dmand AI profiles that report each measure.
Dr. Criner's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Criner?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Criner and other orthopedic surgeons in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Seth Hall Criner treated 788 Medicare patients in 2024, average age 73
CMS counts 788 Medicare patients who saw Dr. Criner in 2024. The largest group is 65 to 74, with 356 patients. 75% of them have arthritis, and 75% have high blood pressure. 40% are also on Medicaid. Their average risk score is 1.30, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Criner's median patient age at 68, with 63% women.
Dr. Criner's Medicare patients by age, 2024
Dr. Criner's Medicare patients by sex, 2024
- Women53768%
- Men25132%
Chronic conditions among Dr. Criner's Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
- Diabetes41%
- Ischemic heart disease34%
- Mood disorders28%
- Anxiety26%
- Chronic kidney disease26%
Share of Medicare patients with each condition. A patient can have several.
Dr. Criner's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 68
Patient panel by sex, all payers
- Women63%
- Men37%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Seth Hall Criner wrote 430 Medicare Part D claims in 2024
In 2024, Dr. Criner wrote 430 Medicare Part D claims for 198 patients. 100% of them were for generic drugs. CMS names the drug for 374 of them, across 5 drugs with 11 or more claims each, at $1,934 in total drug cost. In 2023, CMS named 347 claims across 6 drugs.
Dr. Criner's Part D claims by kind of drug, 2024
- Generic428 claims100%
- Brand-name and other2 claims0%
Dr. Criner's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Criner's Part D claims, 2024
- Opioids78%337 of 430 claims
- Antibiotics7%32 of 430 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 3472024: 3748%
Drugs named by CMS: 5 in 2024, 6 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Seth Hall Criner scored 74 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 74 out of 100 for Dr. Criner for performance year 2024, reported as part of a group. Dr. Criner accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 17 procedures of lower limb (leg) arthroscopy (minimally invasive joint repair) by Dr. Criner, more than 90% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Criner's MIPS scores, performance year 2024
- 74of 100Final score
- 47.5of 100Quality
- 40of 100Improvement Activities
- 74of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Criner ranks in Medicare procedure volume
- Upper limb (arm) arthroscopy (minimally invasive joint repair)
- 89th percentile58 procedures
- Knee replacement
- 80th percentile53 procedures
- Hip replacement
- 72nd percentile25 procedures
- Lower limb (leg) arthroscopy (minimally invasive joint repair)
- 90th percentile17 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Seth Hall Criner received $13,962 in industry payments from 2016 to 2025
CMS Open Payments shows 111 general payments to Dr. Criner from 27 drug and device companies from 2016 to 2025. Travel and lodging make up the largest share, 38% of the total. Synthes GmbH paid the most, $7,436.
General payments to Dr. Criner by program year, 2016 to 2025
General payments to Dr. Criner by kind, 2016 to 2025
- Travel and lodging$5,25838%
- Compensation for serving as faculty or as a speaker for a medical education program$4,50032%
- Food and beverage$2,39117%
- Education$1,81313%
Companies that paid Dr. Criner the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Seth Hall Criner has 1 award and honors on record
Dmand AI lists 1 award for Dr. Criner.
Awards and honors for Dr. Criner
- Undated
- Fellow of American Academy of Orthopaedic Surgeons
Source: Dmand AI Professional Profile Data
Dr. Seth Hall Criner graduated from WesternU College of Osteopathic Medicine of the Pacific
Dr. Criner graduated from WesternU College of Osteopathic Medicine of the Pacific in 2010. Dr. Criner is a member of AAOS, AOA and OTA.
- Medical school
- Board certified in orthopedic surgery
- Board certified in 2014 - 2025
- Board certified in 2014 - present
Source: Dmand AI Professional Profile Data
Dr. Seth Hall Criner accepts plans from 15 insurance carriers
Dr. Criner is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Elevance
- HCSC
- Humana
- Blue Cross Blue Shield of Massachusetts
- Regence Health Plans
- +7 more carriersWith a free account
Plan types Dr. Criner accepts, by number of carriers
- PPO10
- Medicare8
- HMO7
- EPO4
- POS4
Source: Dmand AI Insurance Network Data
Sources for Dr. Seth Hall Criner's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Seth Hall Criner
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Seth Hall Criner's NPI number?
Dr. Seth Hall Criner's NPI number is 1972824100. It was assigned on June 22, 2010, and it is active in the NPI Registry.
What kind of doctor is Dr. Seth Hall Criner?
Dr. Seth Hall Criner is an orthopedic surgeon in Visalia, California. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).
Where does Dr. Seth Hall Criner practice?
Dr. Criner practices at 820 S Akers St, Visalia, CA 93277. Dr. Criner's primary practice is South Valley Surgery Center LLC in Visalia, California. Dmand AI also links Dr. Criner to 2 hospitals, 2 group practices and clinics, 2 home health agencies and 1 medical group.
What is Dr. Seth Hall Criner's office phone number?
The practice phone on file for Dr. Criner is (559) 625-4118.
What is Dr. Seth Hall Criner's medical license number?
Dr. Criner holds California license 20A13237.
Which hospitals is Dr. Seth Hall Criner affiliated with?
Dr. Criner is affiliated with Kaweah Health Medical Center. Dmand AI links Dr. Criner to 2 more hospitals.
What medical group is Dr. Seth Hall Criner part of?
Dr. Criner is linked to Orthopaedic Associates Medical Clinic. Dmand AI links Dr. Criner to 1 more medical group.
Does Dr. Seth Hall Criner accept Medicare?
Yes. CMS data shows Dr. Criner billed Medicare for 3,888 services in 2024, and Dr. Criner accepts Medicare assignment.
What is Dr. Seth Hall Criner's MIPS score?
Dr. Criner's MIPS final score for performance year 2024 is 74 out of 100, reported as part of a group.
How many Medicare patients does Dr. Seth Hall Criner see?
CMS counts 788 Medicare patients who saw Dr. Criner in 2024, with an average age of 73.
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Is Dr. Seth Hall Criner board certified?
Yes. Dr. Criner is board certified in orthopedic surgery by the AOA Board of Orthopedic Surgery.
What services does Dr. Seth Hall Criner bill to Medicare?
In 2024, Dr. Criner's most billed Medicare services were injected or infused drug (J3301), office visit, established patient (99213) and surgery: bones and joints (20610).
Where did Dr. Seth Hall Criner go to medical school?
Dr. Criner graduated from WesternU College of Osteopathic Medicine of the Pacific in 2010.
What drugs does Dr. Seth Hall Criner prescribe most?
In 2024 Medicare Part D data, Dr. Criner's most prescribed drugs by claims were Oxycodone HCl, Hydrocodone-Acetaminophen and Tramadol HCl.
Has Dr. Seth Hall Criner received payments from drug or device companies?
CMS Open Payments shows $13,962 in general payments to Dr. Criner from 27 companies from 2016 to 2025. The largest total came from Synthes GmbH.
How long has Dr. Seth Hall Criner been practicing?
Dr. Criner graduated from medical school in 2010, 16 years ago.
What insurance does Dr. Seth Hall Criner accept?
Dr. Criner is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.
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