Michael Setareh, M.D.
NPI 1568813244 · Family Medicine Physician · Newport Beach, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Setareh, M.D. is a Family Medicine Physician provider in Newport Beach, CA (NPI 1568813244).
Provider details
- NPI number
- 1568813244
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- AT-1823194 (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
10 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
156 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 | 46 | $99 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 46 | $138 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers93970 | 19 | $214 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 19 | $120 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers93971 | 15 | $137 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lisinopril | 31 | 11 |
| Amlodipine Besylate | 30 | 11 |
| Atorvastatin Calcium | 24 | — |
| Metformin Hcl | 20 | — |
| Tamsulosin Hcl | 19 | — |
| Lorazepam | 16 | — |
| Zolpidem Tartrate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$59 across 3 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
- 2016-06-24
- Last updated
- 2019-09-03
Frequently asked questions
- What is Michael Setareh's NPI number?
- Michael Setareh's National Provider Identifier (NPI) is 1568813244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Setareh's specialty?
- Michael Setareh is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Setareh located?
- Michael Setareh's practice location on file with NPPES is 3300 W Coast Hwy Ste a, Newport Beach, CA 92663-4025.
- What is Michael Setareh's phone number?
- The practice phone number listed in the NPPES registry for Michael Setareh is (949) 491-9991.
- Does Michael Setareh accept Medicare?
- Michael Setareh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Setareh's NPI active?
- Yes — Michael Setareh's NPI (1568813244) is active in the NPPES registry as of the last update on 2019-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.