Gavin Setzen, MD
NPI 1063419232 · Otolaryngology Physician · Albany, NY
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gavin Setzen, MD is a Otolaryngology Physician provider in Albany, NY (NPI 1063419232).
Provider details
- NPI number
- 1063419232
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 1915061 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
7,193 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Professional Service for Preparation and Provision of 1 Or More Antigens95165 | 2,813 | $14 |
| Professional Service for Multiple Injections of Allergen95117 | 1,506 | $12 |
| Test for Allergy Using Allergenic Extract95004 | 1,239 | $3 |
| Test for Allergy Using Allergenic Extract Injected Into Skin95024 | 655 | $7 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 466 | $122 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 156 | $122 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Famotidine | 508 | 171 |
| Fluticasone Propionate | 434 | 195 |
| Omeprazole | 379 | 117 |
| Montelukast Sodium | 247 | 75 |
| Ipratropium Bromide | 208 | 91 |
| Azelastine Hcl | 176 | 72 |
| Budesonide | 122 | 51 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$66,502 across 44 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-03
- Last updated
- 2019-10-03
Frequently asked questions
- What is Gavin Setzen's NPI number?
- Gavin Setzen's National Provider Identifier (NPI) is 1063419232, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gavin Setzen's specialty?
- Gavin Setzen is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Gavin Setzen located?
- Gavin Setzen's practice location on file with NPPES is 123 Everett Rd, Albany, NY 12205-1407.
- What is Gavin Setzen's phone number?
- The practice phone number listed in the NPPES registry for Gavin Setzen is (518) 701-2000.
- Does Gavin Setzen accept Medicare?
- Gavin Setzen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gavin Setzen's NPI active?
- Yes — Gavin Setzen's NPI (1063419232) is active in the NPPES registry as of the last update on 2019-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.