Michael Setzen, M.D.
NPI 1356381628 · Specialist · Great Neck, NY
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Setzen, M.D. is a Specialist provider in Great Neck, NY (NPI 1356381628).
Provider details
- NPI number
- 1356381628
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 150950 (NY)
Specialties & taxonomies
Other Service Providers
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
3,541 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 962 | $104 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 781 | $219 |
| Removal of Impacted Ear Wax69210 | 684 | $37 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 173 | $146 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 169 | $151 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 134 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 102 | 53 |
| Fluticasone Propionate | 81 | 48 |
| Famotidine | 57 | 25 |
| Methylprednisolone | 46 | 39 |
| Ipratropium Bromide | 39 | 23 |
| Azithromycin | 37 | 32 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 33 | 23 |
| Azelastine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$6,484 across 22 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
- 2006-06-07
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Frequently asked questions
- What is Michael Setzen's NPI number?
- Michael Setzen's National Provider Identifier (NPI) is 1356381628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Setzen's specialty?
- Michael Setzen is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Michael Setzen located?
- Michael Setzen's practice location on file with NPPES is 600 Northern Blvd, Great Neck, NY 11021-5200.
- What is Michael Setzen's phone number?
- The practice phone number listed in the NPPES registry for Michael Setzen is (516) 829-0045.
- Does Michael Setzen accept Medicare?
- Michael Setzen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Setzen's NPI active?
- Yes — Michael Setzen's NPI (1356381628) is active in the NPPES registry as of the last update on 2021-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.