2026 NPPES data Pediatric Sleep Medicine Physician NPI 1174755615 MD
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Arveity Setty, MD

Pediatric Sleep Medicine Physician in Fargo, North Dakota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 110 in Pediatric Sleep Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
92
Medicare Part D claims · 26 beneficiaries · Pediatric Sleep Medicine Physician avg: 232
MIPS score
83/100
▼ 1 pts below national avg 83.5 · Above neutral

What the federal data shows

Arveity Setty, MD reported a CMS MIPS final score of 83/100 - below the 83.5 national average - and filed 92 Medicare Part D claims in 2024.

83/100
MIPS score · -1 vs avg
92
Part D claims, 2024
Likely
board-certified (heuristic)
≥36th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Arveity Setty, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1174755615), first enumerated 08/18/2009.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 92 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 83/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1174755615 · Pediatric Sleep Medicine Physician

NPI-10 · ENUM-MID · TAX-TRACE · MIPS-INLINE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1174755615
  • ENUM-MID 2009
  • TAX-TRACE 110
  • MIPS-INLINE 83/100
  • RX-TRACE 92
  • BOOK-THIN 1 in North Dakota
  • PHOTO-FINISH Ian Lee, MD · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Arveity Setty, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

83 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Arveity Setty, MD sits

This provider among pediatric sleep medicine physician peers

Across the 14 pediatric sleep medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Arveity Setty, MD writes more Part D claims than 50% of them and scores higher on MIPS quality than 43% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 69Point, Part D claim volume, percentile in specialty: 46 · MIPS quality, percentile: 31Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 54Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 31 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 23Arveity Setty, MD, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pediatric sleep medicine physician peer from a representative sample of 13; the gold marker is Arveity Setty, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Arveity Setty, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Arveity Setty, MD?

Near national average

NPI registry status

Active

Issued 08/18/2009

NPI 1174755615

Primary specialty

Pediatric Sleep Medicine Physician

Rare

110 US NPIs in this specialty

Medicare Part D claims

92 60% vs specialty avg

2024 prescription claims

Specialty avg: 232

MIPS final score

83/100 0.5 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in North Dakota

How Pediatric Sleep Medicine Physician compares to other specialties among North Dakota providers

North Dakota providers
Personal Care Attendant8.1%Case Manager/Care Coordinator6.4%Physical Therapist4.6%Speech-Language Pathologist4.5%Registered Nurse4.1%Social Worker3.9%Pediatric Sleep Medicine Phy…0%
Largest specialties in North Dakota (% of in-state providers)

Medicare quality performance, MIPS

Arveity Setty, MD's 2023 MIPS final score plotted against the Pediatric Sleep Medicine Physician national average

Near national average
MIPS Final Score
83/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%83%
MIPS final score (Pediatric Sleep Medicine Physician) - 83/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

2701 13TH AVE S
Fargo, ND 58103

Provider Details

NPI 1174755615
Specialty Pediatric Sleep Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/18/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

82.9973
Final Score
Measured-score avg: 83.5
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Arveity Setty, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

According to CMS billing records, Arveity Setty, MD is affiliated with 3 Medicare-billing facilities across 2 states, 1 of which carry a CMS Hospital overall star rating.

Sanford Medical Center Fargo
★★★★☆ 4/5
West Fargo, ND
Acute Care Hospitals
CMS CCN: 350011
Riverview Healthcare Association
Crookston, MN
St Alexius Medical Center
Bismarck, ND

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

92
Total Claims
$2K
Total Drug Cost
26
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
106
Total Day Supply
2,567
Generic Drug Cost
$888

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.06
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Arveity Setty, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Zolpidem Tartrate
12
Clonazepam
11
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Sleep Medicine Physician Overview

How Arveity Setty, MD fits within the Pediatric Sleep Medicine Physician landscape nationally.

110
Pediatric Sleep Medicine Physician Providers in US
31
States with Pediatric Sleep Medicine Physician
232
Avg Claims per Provider

Arveity Setty, MD's 92 claims are below the specialty average of 232.

Nationwide Pediatric Sleep Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Setty, both outside North Dakota so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (83 here).

Same NPPES enumeration year (2009)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Frequently Asked Questions

What is Arveity Setty, MD's specialty?
Arveity Setty, MD specializes in Pediatric Sleep Medicine Physician and practices in Fargo, North Dakota. Credentials: MD.
How much does Arveity Setty, MD prescribe under Medicare Part D?
In 2024, Arveity Setty, MD wrote 92 Medicare Part D claims totaling $2K in drug costs for 26 beneficiaries.
What is Arveity Setty, MD's Medicare quality score?
Arveity Setty, MD has a CMS MIPS Final Score of 83/100 (Quality: 87.1, Cost: 57.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Arveity Setty, MD located?
Arveity Setty, MD is located at 2701 13TH AVE S, Fargo, ND, 58103. Phone: (701) 234-3620.
What is Arveity Setty, MD's NPI number?
Arveity Setty, MD's National Provider Identifier (NPI) is 1174755615, issued on 08/18/2009.
How many Pediatric Sleep Medicine Physician providers are there in the US?
There are 110 Pediatric Sleep Medicine Physician providers across 31 states in the US. The average Pediatric Sleep Medicine Physician provider writes 232 Medicare Part D claims per year.
What drugs does Arveity Setty, MD prescribe most often?
Based on 2024 Medicare Part D data, Arveity Setty, MD's most frequently prescribed drugs include Zolpidem Tartrate, Clonazepam, Pramipexole Dihydrochloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Arveity Setty, MD accept Medicare?
Arveity Setty, MD appears in CMS Medicare data with 92 Part D claims and 26 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Arveity Setty, MD's credentials?
Arveity Setty, MD's NPI is 1174755615 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.