Michael Setzen, M.D.
Specialist · Great Neck, NY
Michael Setzen, M.D. is a specialist with a practice address in Great Neck, New York, and NPI 1356381628, issued on Jun 7, 2006. Check the license (New York 150950, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Michael Setzen
- Credential
- M.D.
- Primary taxonomy
- Specialist 174400000X
- License number
- 150950 NY
Self-reported in NPPES; status is on the state search - Practice location
- 600 Northern Blvd, Great Neck, NY 11021
- Phone
- (516) 829-0045
- Enumerated
- Jun 7, 2006
- Record last updated
- Dec 29, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (516) 829-0041
- Medicare enrollment
- Enrolled (PECOS I20090316000425); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest specialist records → All 22,636 in New York → Look up another NPI →
Also registered at 600 Northern Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Michael Setzen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 150950Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
60% fewer Medicare Part D claims than the average specialist in 2024
550 Medicare Part D claims for 189 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims.
Most prescribed
- Omeprazole102 claims
- Fluticasone Propionate81 claims
- Famotidine57 claims
- Methylprednisolone46 claims
- Ipratropium Bromide39 claims
- Azithromycin37 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $6,484.30
22 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Pharmaceuticals, Inc. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Michael Setzen among 22,636 specialist records in New York
Michael Setzen, M.D. is one of 22,636 specialist records with a practice address in New York. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 1% of them.
- NPI issued2006 · 1% of these records are older, 92% newer
- In a Medicare fileYes · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 4% of these records are
- Graduated1974 · median 1990 among the 943 with a school on file
- Record last updated2021 · 73% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
88 specialist records list a practice address in Great Neck
They are 88 of the 2,508 NPPES records with a practice address in Great Neck, and 22,636 specialist records in New York.
All 22,636 in New York → Every provider in Great Neck → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Mansoor Beg, M.D.Great Neck, NY 110211437129673
- Charles Conte, MDGreat Neck, NY 110211689644387
- Elliot Goldofsky, M.D.Great Neck, NY 110211194718437
- Kathy Kahn Brandes, M.D.Great Neck, NY 110211619960135
- David Katz, M.D.Great Neck, NY 110211205839347
- Edmund Kessler, M.D.Great Neck, NY 110211396713988
- Roger Lao, M.D.Great Neck, NY 110211902800741
- Paul Needelman, M.D.Great Neck, NY 110211619971454
Common questions
What is Michael Setzen, M.D.'s NPI number?
Michael Setzen, M.D.'s National Provider Identifier (NPI) is 1356381628, issued on Jun 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Michael Setzen, M.D. located?
The NPPES record lists a practice address at 600 Northern Blvd, Great Neck, NY, 11021. Phone: (516) 829-0045. Providers update this record themselves, so call before visiting.
How can I verify Michael Setzen, M.D.'s license?
NPPES lists New York license number 150950, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Michael Setzen, M.D. prescribe under Medicare Part D?
In 2024, Michael Setzen, M.D. had 550 Medicare Part D claims for 189 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is Michael Setzen, M.D.'s MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.