Roy Settergren, M.D.
NPI 1194055863 · Hospitalist Physician · Hinsdale, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roy Settergren, M.D. is a Hospitalist Physician provider in Hinsdale, IL (NPI 1194055863).
Provider details
- NPI number
- 1194055863
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 75081-20 (WI)
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 tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,387 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 518 | $120 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 500 | $80 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 181 | $116 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 127 | $176 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 34 | $133 |
| Critical Care, First 30-74 Minutes99291 | 27 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefdinir | 29 | 27 |
| Prednisone | 27 | 26 |
| Atorvastatin Calcium | 21 | 18 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 19 | 18 |
| Azithromycin | 16 | 16 |
| Amlodipine Besylate | 16 | 12 |
| Pantoprazole Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-01-02
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Roy Settergren's NPI number?
- Roy Settergren's National Provider Identifier (NPI) is 1194055863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roy Settergren's specialty?
- Roy Settergren is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Roy Settergren located?
- Roy Settergren's practice location on file with NPPES is 120 N Oak St, Hinsdale, IL 60521-3829.
- What is Roy Settergren's phone number?
- The practice phone number listed in the NPPES registry for Roy Settergren is (630) 856-9000.
- Does Roy Settergren accept Medicare?
- Roy Settergren is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roy Settergren's NPI active?
- Yes — Roy Settergren's NPI (1194055863) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.