Roy Setzenfand, MD
NPI 1659305696 · Internal Medicine Physician · Carrollton, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roy Setzenfand, MD is a Internal Medicine Physician provider in Carrollton, TX (NPI 1659305696).
Provider details
- NPI number
- 1659305696
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- L8947 (TX)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
10 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
96 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 Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 64 | $56 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 18 | $128 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 14 | $72 |
Typical Medicare-allowed amounts for these services range $56–$128 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 52 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 178 | 102 |
| Lisinopril | 107 | 60 |
| Amlodipine Besylate | 95 | 50 |
| Gabapentin | 71 | 35 |
| Metformin Hcl | 70 | 35 |
| Losartan Potassium | 64 | 40 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$100 across 5 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
Additional practice locations (9)
- 4801 S Cooper St Ste 401Arlington, TX 76017-5963Phone: (817) 813-7100Fax: (817) 382-5458
- 8840 Benbrook Blvd Ste 101Benbrook, TX 76126-2173Phone: (817) 813-7101Fax: (817) 382-5458
- 1515 S Buckner Blvd Ste 141Dallas, TX 75217-1794Phone: (214) 305-7065Fax: (469) 574-0383
- 2360 Gus Thomasson RdDallas, TX 75228-3005Phone: (214) 301-7071Fax: (469) 535-8772
- 1950 Ephriham AveFort Worth, TX 76164-6670Phone: (817) 813-7075Fax: (817) 764-0656
- 4115 E Lancaster AveFort Worth, TX 76103-3614Phone: (817) 796-7370Fax: (817) 764-0714
- 2928 N Belt Line RdIrving, TX 75062-5247Phone: (214) 307-7786Fax: (469) 460-9091
- 4510 Medical Center DrSuite 311Mckinney, TX 75069-1650
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2022-05-17
- Certified
- 2022-05-17
Frequently asked questions
- What is Roy Setzenfand's NPI number?
- Roy Setzenfand's National Provider Identifier (NPI) is 1659305696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roy Setzenfand's specialty?
- Roy Setzenfand is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Roy Setzenfand located?
- Roy Setzenfand's practice location on file with NPPES is 1213 E Trinity Mills Rd Ste 173, Carrollton, TX 75006-1446.
- What is Roy Setzenfand's phone number?
- The practice phone number listed in the NPPES registry for Roy Setzenfand is (972) 962-1296.
- Does Roy Setzenfand accept Medicare?
- Roy Setzenfand is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roy Setzenfand's NPI active?
- Yes — Roy Setzenfand's NPI (1659305696) is active in the NPPES registry as of the last update on 2022-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.