Erin Setzer, MD
NPI 1578881165 · Emergency Medicine Physician · Morgantown, WV
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Erin Setzer, MD is a Emergency Medicine Physician provider in Morgantown, WV (NPI 1578881165).
Provider details
- NPI number
- 1578881165
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 24831 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
574 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 196 | $8 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 148 | $123 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 120 | $177 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 65 | $72 |
| Critical Care, First 30-74 Minutes99291 | 29 | $207 |
| Emergency Department Visit With Straightforward Medical Decision Making99282 | 16 | $43 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 18 | 18 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 15 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude 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 no Part D record, 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.
$13 across 1 record (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
Additional practice locations (3)
- 812 Gorman AveElkins, WV 26241-3181Phone: (304) 636-3300
- 140 Middletown LoopFairmont, WV 26554-8701Phone: (304) 333-1150
- 1200 J D Anderson DrMorgantown, WV 26505-3494Phone: (304) 598-1200
Registry dates
- Enumerated
- 2010-05-07
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Erin Setzer's NPI number?
- Erin Setzer's National Provider Identifier (NPI) is 1578881165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erin Setzer's specialty?
- Erin Setzer is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Erin Setzer located?
- Erin Setzer's practice location on file with NPPES is 1 Medical Center Drive, Morgantown, WV 26506.
- What is Erin Setzer's phone number?
- The practice phone number listed in the NPPES registry for Erin Setzer is (304) 598-4000.
- Does Erin Setzer accept Medicare?
- Erin Setzer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Erin Setzer's NPI active?
- Yes — Erin Setzer's NPI (1578881165) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.