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Ascension Seton Cedar Park
AI-generated illustrative exterior for Ascension Seton Cedar Park profile, not an official facility photograph
AI-generated illustrative exterior. Not an official photograph of Ascension Seton Cedar Park. AI Visuals Policy
Hospital Overall Rating:3 / 5
CMS Quality Score:37.81 / 100
partial

Ascension Seton Cedar Park

Last updated on July 2026
Acute Care Hospitals
TexasCedar Park
Birthing Friendly:
Emergency Service:

Ascension Seton Cedar Park, located at 1401 Medical Parkway, Cedar Park, TX 78613. As a acute care hospitals with 24/7 emergency services. This facility meets CMS criteria for birthing-friendly designation. CMS Hospital Overall Rating: 3 out of 5.

NPI Number:1003040544
Ownership:Voluntary non-profit - Private
Hospital Type:Acute Care Hospitals
Address:1401 Medical Parkway, Cedar Park, TX 78613, USA
Phone:+1 512-528-7000
CMS Birthing Friendly Haritalar Get Directions
Ascension Seton Cedar Park Doctors
CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) Doctors (25)
ERIC ANDREWS
ERIC ANDREWS (CNA)
NPI: 1043925449
Graduation Year: 2022
ELLEN BLANKENSHIP
ELLEN BLANKENSHIP (CNA)
NPI: 1043925324
Graduation Year: 2022
NICOLE CORBELL
NICOLE CORBELL (CNA)
NPI: 1114224722
Graduation Year: 2010
KIMBERLEE DELCO
KIMBERLEE DELCO (CNA)
NPI: 1356911358
Graduation Year: 2021
ANESTHESIOLOGY Doctors (22)
JEFFREY BRAND
JEFFREY BRAND (MD)
NPI: 1205817905
BAYLOR COLLEGE OF MEDICINE
Graduation Year: 1991
JACK CARSNER
JACK CARSNER (MD)
NPI: 1265413967
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year: 1991
JASON CRAIG
JASON CRAIG (MD)
NPI: 1447431895
Graduation Year: 2009
DANIEL DEMING
DANIEL DEMING (MD)
NPI: 1609060086
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year: 2003
INTERNAL MEDICINE Doctors (15)
NIKHIL AGARWAL
NIKHIL AGARWAL (MD)
NPI: 1124173513
Graduation Year: 2004
PRASANTHI ARETY
PRASANTHI ARETY (MD)
NPI: 1528333713
Graduation Year: 2005
HARSH BABBAR
HARSH BABBAR (MD)
NPI: 1114105418
Graduation Year: 1998
STEVEN FOSTER
STEVEN FOSTER (MD)
NPI: 1245276682
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year: 1987
NURSE PRACTITIONER Doctors (9)
JAMES AINSWORTH
JAMES AINSWORTH (NP)
NPI: 1275254781
Graduation Year: 2022
DIANE BONSALL
DIANE BONSALL (NP)
NPI: 1144652751
Graduation Year: 2013
HALIMATOU DIALLO
HALIMATOU DIALLO (NP)
NPI: 1265189708
Graduation Year: 2021
MADISON GONZALES
MADISON GONZALES (NP)
NPI: 1417529777
Graduation Year: 2021
DIAGNOSTIC RADIOLOGY Doctors (9)
JOSEPH BASS
JOSEPH BASS (MD)
NPI: 1194799338
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year: 1988
KEVIN CHIOU
KEVIN CHIOU (MD)
NPI: 1407318892
BAYLOR COLLEGE OF MEDICINE
Graduation Year: 2019
NABEEL FARHATAZIZ
NABEEL FARHATAZIZ (MD)
NPI: 1609884089
BAYLOR COLLEGE OF MEDICINE
Graduation Year: 2001
JAMES LEAKE
JAMES LEAKE (MD)
NPI: 1629498217
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year: 2014
Ascension Seton Cedar Park Departments
ANESTHESIOLOGY
CARDIOVASCULAR DISEASE (CARDIOLOGY)
CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
DIAGNOSTIC RADIOLOGY
EMERGENCY MEDICINE
FAMILY PRACTICE
GASTROENTEROLOGY
GENERAL SURGERY
HEMATOLOGY/ONCOLOGY
HOSPITALIST
INTERNAL MEDICINE
INTERVENTIONAL CARDIOLOGY
MEDICAL ONCOLOGY
NEPHROLOGY
NEUROLOGY
NURSE PRACTITIONER
OBSTETRICS/GYNECOLOGY
ORTHOPEDIC SURGERY
Healthcare-Associated Infections (HAI)
Reporting Period: 10/01/2024 – 09/30/2025
Want to understand this data? What is HAI & the SIR Score? →
SIR Overview — values below 1.0 indicate fewer infections than expected (green = better, red = worse). (ⓘ = See glossary)
CAUTI
Catheter-Associated Urinary Tract Infections (CAUTI)
No Different than National Benchmark
SIR 0.000 (0.000 – 2.789)
Observed 0
Eligible Cases 1
Days / Procedures 1,644
SSI-Colon
Surgical Site Infection from Colon Surgery (SSI-Colon)
No Different than National Benchmark
SIR 0.000 (0.000 – 2.063)
Observed 0
Eligible Cases 1
Days / Procedures 50
C.diff
Clostridium Difficile (C.diff) Infections (CDI)
Better than the National Benchmark
SIR 0.347 (0.110 – 0.837)
Observed 4
Eligible Cases 11
Days / Procedures 22,099
Patient Experience Survey (HCAHPS)
Reporting Period: 10/01/2024 – 09/30/2025
401 completed surveys 12% response rate
Overall Rating
2/5
Want to understand this data? What is the HCAHPS Survey? →
Category Ratings Overview
Nurse Communication
2/5
Nurses "always" communicated well
Hospital
73%
TX Avg
80%
US Avg
80%
Nurses "sometimes" or "never" communicated well
Hospital
6%
TX Avg
4%
US Avg
4%
Nurses "usually" communicated well
Hospital
21%
TX Avg
16%
US Avg
16%
Doctor Communication
2/5
Doctors "always" communicated well
Hospital
77%
TX Avg
80%
US Avg
80%
Doctors "sometimes" or "never" communicated well
Hospital
7%
TX Avg
5%
US Avg
5%
Doctors "usually" communicated well
Hospital
16%
TX Avg
15%
US Avg
15%
Communication About Medicines
2/5
Staff "always" explained
Hospital
55%
TX Avg
63%
US Avg
62%
Staff "sometimes" or "never" explained
Hospital
26%
TX Avg
19%
US Avg
19%
Staff "usually" explained
Hospital
19%
TX Avg
18%
US Avg
19%
Discharge Information
2/5
Yes, staff "did" give patients this information
Hospital
79%
TX Avg
86%
US Avg
87%
No, staff "did not" give patients this information
Hospital
21%
TX Avg
14%
US Avg
13%
Cleanliness of Hospital
3/5
Room was "always" clean
Hospital
72%
TX Avg
77%
US Avg
74%
Room was "sometimes" or "never" clean
Hospital
10%
TX Avg
7%
US Avg
9%
Room was "usually" clean
Hospital
18%
TX Avg
16%
US Avg
17%
Quietness of Hospital
3/5
"Always" quiet at night
Hospital
52%
TX Avg
67%
US Avg
60%
"Sometimes" or "never" quiet at night
Hospital
13%
TX Avg
7%
US Avg
10%
"Usually" quiet at night
Hospital
35%
TX Avg
26%
US Avg
30%
Overall Hospital Rating
2/5
Patients who gave a rating of "9" or "10" (high)
Hospital
63%
TX Avg
74%
US Avg
72%
Patients who gave a rating of "7" or "8" (medium)
Hospital
22%
TX Avg
18%
US Avg
20%
Patients who gave a rating of "6" or lower (low)
Hospital
15%
TX Avg
8%
US Avg
8%
Recommend the Hospital
2/5
"YES", patients would definitely recommend the hospital
Hospital
61%
TX Avg
73%
US Avg
71%
"YES", patients would probably recommend the hospital
Hospital
27%
TX Avg
21%
US Avg
23%
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)
Hospital
12%
TX Avg
6%
US Avg
6%
Complications & Deaths
Reporting Period: 04/01/2023 – 03/31/2025
Want to understand this data? Complications & Deaths Guide →
30-Day Mortality Rates
Hover over a bar or Y-axis label to see the full definition.
MeasureScore 95% CI Cases vs. National
Death rate for heart attack patients MORT_30_AMI10.98.4 – 13.986 Average
Death rate for COPD patients MORT_30_COPD9.26.1 – 13.459 Average
Death rate for heart failure patients MORT_30_HF9.36.4 – 13.3119 Average
Death rate for pneumonia patients MORT_30_PN18.714.2 – 24.4275 Average
Death rate for stroke patients MORT_30_STK14.19.9 – 20.684 Average
Complications
Hover over a bar or Y-axis label to see the full definition.
MeasureScore 95% CI Cases vs. National
Rate of complications for hip/knee replacement patients COMP_HIP_KNEE3.92.2 – 7105 Average
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateHybrid_HWM3.93.9 – 41256 Average
Patient Safety Indicators (PSI)
Hover over a bar or Y-axis label to see the full definition.
MeasureScore 95% CI Cases vs. National
Pressure ulcer ratePSI_030.350 – 1.351718 Average
Death rate among surgical inpatients with serious treatable complicationsPSI_04158.6995.59 – 221.7832 Average
Iatrogenic pneumothorax ratePSI_060.190 – 0.422363 Average
In-hospital fall-associated fracture ratePSI_080.250.04 – 0.462331 Average
Postoperative hemorrhage or hematoma ratePSI_092.140.48 – 3.81435 Average
Postoperative acute kidney injury requiring dialysis ratePSI_101.630 – 3.34161 Average
Postoperative respiratory failure ratePSI_116.770 – 15.42180 Average
Perioperative pulmonary embolism or deep vein thrombosis ratePSI_122.970.54 – 5.41456 Average
Postoperative sepsis ratePSI_134.670.57 – 8.78163 Average
Postoperative wound dehiscence ratePSI_141.730.21 – 3.25112 Average
Abdominopelvic accidental puncture or laceration ratePSI_150.950 – 1.99437 Average
CMS Medicare PSI 90: Patient safety and adverse events composite PSI_900.790.37 – 1.21— Average
Timely & Effective Care
Reporting Period: 01/01/2024 – 12/31/2024
Want to understand this data? Timely & Effective Care Guide →
Colonoscopy care
MeasureScore
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients OP_2992
Electronic Clinical Quality Measure
MeasureScore
Hospital Harm - Severe Hypoglycemia HH_HYPO1
Safe Use of Opioids - Concurrent Prescribing SAFE_USE_OF_OPIOIDS11
Discharged on Antithrombotic TherapySTK_0294
Antithrombotic Therapy by End of Hospital Day 2STK_0598
Emergency Department
MeasureScore
Emergency department volumeEDVmedium
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better OP_18a145
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better OP_18b142
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better OP_18c247
Left before being seen OP_221
Head CT results OP_2375
Healthcare Personnel Vaccination
MeasureScore
Healthcare workers given influenza vaccination IMM_336
Sepsis Care
MeasureScore
Appropriate care for severe sepsis and septic shock SEP_165
Septic Shock 3-Hour BundleSEP_SH_3HR49
Septic Shock 6-Hour BundleSEP_SH_6HR94
Severe Sepsis 3-Hour BundleSEV_SEP_3HR87
Severe Sepsis 6-Hour BundleSEV_SEP_6HR90
Unplanned Hospital Visits
Reporting Period: 07/01/2022 – 06/30/2025
Want to understand this data? Hospital Readmissions (HRRP) Guide →
Excess Days in Acute Care (EDAC)
Hover over a bar or Y-axis label to see the full definition.
MeasureScore US Avg 95% CI Cases vs. National
Hospital return days for heart attack patients EDAC_30_AMI22 fewer50 avg51 more2.4—-34.6 – 7075 Average
Hospital return days for heart failure patients EDAC_30_HF51 fewer119 avg51 more-5.7—-52.5 – 59.3114 Average
Hospital return days for pneumonia patients EDAC_30_PN56 fewer124 avg84 more26.8—-6.4 – 68.8261 Average
Unplanned Readmissions
Hover over a bar or Y-axis label to see the full definition.
MeasureScore US Avg 95% CI Cases vs. National
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate READM_30_AMI0 better152 avg1 worse14.213.612 – 16.9— Average
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients READM_30_COPD0 better175 avg0 worse19.618.216.9 – 22.9— Average
Heart failure (HF) 30-Day Readmission Rate READM_30_HF3 better218 avg0 worse21.519.718.7 – 24.6— Average
Rate of readmission after hip/knee replacement READM_30_HIP_KNEE2 better106 avg0 worse4.84.83.2 – 7.5— Average
Pneumonia (PN) 30-Day Readmission Rate READM_30_PN0 better263 avg1 worse19.41616.8 – 22.1— Average
Outpatient Unplanned Returns
Hover over a bar or Y-axis label to see the full definition.
MeasureScore US Avg 95% CI Cases vs. National
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)OP_321 better237 avg0 worse15.61311.6 – 20.6— Average
Ratio of unplanned hospital visits after hospital outpatient surgeryOP_366 better210 avg6 worse1.2—0.9 – 1.7— Average
Outpatient Imaging Efficiency
07/01/2024 — 06/30/2025
Lower percentages indicate fewer unnecessary or redundant imaging tests — this generally means better, more efficient care.
Want to understand this data? Medical Imaging Efficiency Guide →
Score Overview (% of patients)
OP-10
0.8%
Abdomen CT Use of Contrast Material
Outpatient CT scans of the abdomen that were "combination" (double) scans.
At or below national benchmark
OP-39
5.4%
Breast Cancer Screening Recall Rates
Percentage of screening mammograms that result in a recommendation for additional imaging.
At or below national benchmark
Hospital Readmissions Reduction Program (HRRP)
07/01/2021 — 06/30/2024
The Excess Readmission Ratio (ERR) compares a hospital's actual 30-day readmission rate to its expected rate for similar patients. ERR < 1.0 = fewer readmissions than expected (better). ERR > 1.0 = more than expected (CMS penalty may apply).
Want to understand this data? Hospital Readmissions (HRRP) Guide →
Excess Readmission Ratio by Condition — reference line at 1.0 (national expectation)
0
Better than expected
2
About average
3
Above expected
Condition
ERR
Predicted %
Expected %
Discharges
Status
Heart Attack (AMI)
READM-30-AMI-HRRP
1.1124
13.42%
12.07%
94
Above expected
COPD
READM-30-COPD-HRRP
1.0134
16.92%
16.70%
77
Average
Heart Failure
READM-30-HF-HRRP
1.0617
20.21%
19.04%
122
Above expected
Hip/Knee Replacement
READM-30-HIP-KNEE-HRRP
1.0164
3.64%
3.58%
—
Average
Pneumonia
READM-30-PN-HRRP
1.0925
15.62%
14.29%
302
Above expected
Footnote codes: 5. Refer to CMS HRRP methodology for details.
Hospital-Acquired Condition Reduction Program (HAC)
Fiscal Year 2026
Want to understand this data? Hospital-Acquired Conditions (HAC) Guide →
No Medicare Payment Reduction
This hospital did not receive a CMS payment penalty for hospital-acquired conditions in this fiscal year.
Total HAC Score
-0.7917
Negative = fewer HACs than expected (better)
−20+2
PSI-90 Composite
N/A
Patient Safety Indicator — < 1.0 = fewer complications than expected
Infection Type
SIR
W Z-Score
Status
The HAC Reduction Program penalizes hospitals in the worst-performing quartile with a 1% reduction in all Medicare payments for the fiscal year. The Total HAC Score combines PSI-90 (patient safety) and HAI (infection) data. Lower scores = better performance.
Hospital Value-Based Purchasing Program (VBP)
Fiscal Year 2026
Want to understand this data? Value-Based Purchasing (VBP) Guide →
Total Performance Score
31.25 / 100
Average Performer
0255075100
Higher score = better value-based performance
Weighted Domain Scores — each domain contributes up to 25 points
Domain
Unweighted Score
Weighted Score
Contribution
The Hospital Value-Based Purchasing (VBP) Program adjusts Medicare payments based on a hospital's performance across four domains: Clinical Outcomes, Patient & Community Engagement, Safety, and Efficiency & Cost Reduction. Hospitals with higher scores receive payment increases; lower scores result in reductions.
Data Provenance & Trust

This hospital profile and associated quality metrics are compiled directly from the official U.S. Centers for Medicare & Medicaid Services (CMS) Provider Data infrastructure. The information is automatically synchronized to reflect the most current public datasets available.

Primary DataSource: CMS.gov Provider Data Catalog
Medical Disclaimer: Hospital Data Center is a health data aggregator, not a healthcare provider. All scores, including the composite Quality Score, are algorithmic transformations of CMS datasets intended for research and comparison. They do not constitute medical advice.