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2026 NPPES data Podiatrist NPI 1215048202 D.P.M.
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Joseph Setter, D.P.M.

Podiatrist in Bloomington, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,602 in Podiatrist, 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
101
Medicare Part D claims · 59 beneficiaries · Podiatrist avg: 320
MIPS score
0/100
▼ 84 pts below national avg 83.5 · Penalty band
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Joseph Setter, D.P.M. reported a CMS MIPS final score of 0/100 - below the 83.5 national average - and filed 101 Medicare Part D claims in 2024.

0/100
MIPS score · -83 vs avg
101
Part D claims, 2024
≥0th
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 Joseph Setter, D.P.M.

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 1215048202), first enumerated 08/31/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 101 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 0/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • State context

    State board disciplinary context

    Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Joseph Setter, D.P.M.'s individual license status. Verify directly with the state medical board.

    Source: IDFPR annual report 2023

  • 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 1215048202 · Podiatrist

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1215048202
  • ENUM-LEGACY 2006
  • TAX-MID 11K Podiatrist
  • MIPS-LOW 0/100
  • RX-LIGHT 101
  • BOOK-LIGHT 607 in Illinois
  • PHOTO-FINISH Keith Arbuckle, D.P.M. · ±0.0

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

Joseph Setter, D.P.M.'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.

0 ≥ 0th percentile 0% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). This entry sits in this band. 10–20: 3,008 measured providers (1%). Above this entry. 20–30: 3,069 measured providers (1%). Above this entry. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 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 Joseph Setter, D.P.M. sits

This provider among podiatrist peers

Across the 2,362 podiatrist providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Setter, D.P.M. writes more Part D claims than 25% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-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: 77 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 77Joseph Setter, D.P.M., Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 0
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one podiatrist peer from a representative sample of 60; the gold marker is Joseph Setter, D.P.M.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Joseph Setter, D.P.M.?

Below national average

NPI registry status

Active

Issued 08/31/2006

NPI 1215048202

Primary specialty

Podiatrist

Mid-sized

10,602 US NPIs in this specialty

Medicare Part D claims

101 68% vs specialty avg

2024 prescription claims

Specialty avg: 320

MIPS final score

0/100 83.5 pts vs avg

Penalty band band

vs 83.5 national avg

Specialty distribution in Illinois

How Podiatrist compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker5.2%Physical Therapist4.9%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Heal…4.1%Pharmacist4.1%Podiatrist0.3%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Joseph Setter, D.P.M.'s 2023 MIPS final score plotted against the Podiatrist national average

Below national average
MIPS Final Score
0/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%0%
MIPS final score (Podiatrist) - 0/100 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

2708 MCGRAW DR
Bloomington, IL 61704
(309) 663-2306

Provider Details

NPI 1215048202
Specialty Podiatrist
Credentials D.P.M.
Gender Male
NPI Issued 08/31/2006

CMS Quality Score (MIPS)

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

0
Final Score
Measured-score avg: 83.5
0
Quality

Reporting: Individual

License & disciplinary context - Illinois IDFPR 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Joseph Setter, D.P.M.. To verify Joseph Setter, D.P.M.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

101
Total Claims
$2K
Total Drug Cost
59
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
126.5
Total Day Supply
2,617
Generic Drug Cost
$2K
Antibiotic Claims
36

Patient Demographics

Average Patient Age
77.1 years
Avg HCC Risk Score
1.51
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 Joseph Setter, D.P.M. 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
Cephalexin
 25
Ketoconazole
 20
Ammonium Lactate
 13

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

More Podiatrist in IL → All providers in Illinois → Compare specialties →

Podiatrist Overview

How Joseph Setter, D.P.M. fits within the Podiatrist landscape nationally.

10,602
Podiatrist Providers in US
54
States with Podiatrist
320
Avg Claims per Provider

Joseph Setter, D.P.M.'s 101 claims are below the specialty average of 320.

Nationwide Podiatrist peers with similar MIPS or enrollment year

Two federal-record peer sets for Setter, both outside Illinois so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (0 here).

Keith Arbuckle 0 AZ David Bates 0 AZ James Bowman 0 AL Robert Buckenberger 0 CA

Same NPPES enumeration year (2006)

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

Richard Heligman West Bloomfield, MI Christopher Linge Daytona Beach, FL James Smith Quakertown, PA Meynard Nussbaum Cypress, TX

Nearby Podiatrist Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Setter.

One of 607 Podiatrist providers enrolled in Illinois, 5 are shown here.

Dr. Bijoy Abraham
D.P.M.
Chicago, IL
Dr. Malik Abraham
DPM
Arlington Heights, IL
Dr. Loren Adelman
DPM
Highland Park, IL
Dr. Karen Agnich
D.P.M.
Woodridge, IL
Dr. Maheen Ahmad
DPM
Chicago, IL

Compare Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Joseph Setter, D.P.M.'s specialty? ▼
Joseph Setter, D.P.M. specializes in Podiatrist and practices in Bloomington, Illinois. Credentials: D.P.M..
How much does Joseph Setter, D.P.M. prescribe under Medicare Part D? ▼
In 2024, Joseph Setter, D.P.M. wrote 101 Medicare Part D claims totaling $2K in drug costs for 59 beneficiaries.
What is Joseph Setter, D.P.M.'s Medicare quality score? ▼
Joseph Setter, D.P.M. has a CMS MIPS Final Score of 0/100 (Quality: 0). 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 Joseph Setter, D.P.M. located? ▼
Joseph Setter, D.P.M. is located at 2708 MCGRAW DR, Bloomington, IL, 61704. Phone: (309) 663-2306.
What is Joseph Setter, D.P.M.'s NPI number? ▼
Joseph Setter, D.P.M.'s National Provider Identifier (NPI) is 1215048202, issued on 08/31/2006.
How many Podiatrist providers are there in the US? ▼
There are 10,602 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 320 Medicare Part D claims per year.
What drugs does Joseph Setter, D.P.M. prescribe most often? ▼
Based on 2024 Medicare Part D data, Joseph Setter, D.P.M.'s most frequently prescribed drugs include Cephalexin, Ketoconazole, Ammonium Lactate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Setter, D.P.M. accept Medicare? ▼
Joseph Setter, D.P.M. appears in CMS Medicare data with 101 Part D claims and 59 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Setter, D.P.M.'s credentials? ▼
Joseph Setter, D.P.M.'s NPI is 1215048202 with credentials D.P.M.. 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

Compiled from official public sources by the editorial process.

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.