Theresa Setter, APRN-BC
NPI 1114135209 · Family Nurse Practitioner · Fayetteville, NY
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Setter, APRN-BC is a Family Nurse Practitioner provider in Fayetteville, NY (NPI 1114135209).
Provider details
- NPI number
- 1114135209
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- SP009331 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
311 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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 133 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 82 | $73 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 38 | $42 |
| Destruction of Skin Growth, 1-14 Growths17110 | 30 | $90 |
| Biopsy of Related Skin Growth, First Growth11102 | 28 | $70 |
Typical Medicare-allowed amounts for these services range $5–$90 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clobetasol Propionate | 31 | 16 |
| Imiquimod | 20 | 12 |
| Triamcinolone Acetonide | 20 | 20 |
| Ketoconazole | 17 | — |
| Hydroxyzine Hcl | 17 | — |
| Ciclopirox Olaminebrand: Ciclopirox | 11 | — |
| Adalimumabbrand: Humira(cf) Pen | 11 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,841 across 19 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
- 2007-05-20
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Frequently asked questions
- What is Theresa Setter's NPI number?
- Theresa Setter's National Provider Identifier (NPI) is 1114135209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Setter's specialty?
- Theresa Setter is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Setter located?
- Theresa Setter's practice location on file with NPPES is 516 E Genesee St, Fayetteville, NY 13066-1537.
- What is Theresa Setter's phone number?
- The practice phone number listed in the NPPES registry for Theresa Setter is (315) 251-1234.
- Does Theresa Setter accept Medicare?
- Theresa Setter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Setter's NPI active?
- Yes — Theresa Setter's NPI (1114135209) is active in the NPPES registry as of the last update on 2024-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.