2026 NPPES data Military Health Care Provider NPI 1407298714 D.O.
Verify on CMS →

MOLLY SETZER, D.O.

Military Health Care Provider in HICKORY, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
110
Medicare Part D claims · 38 beneficiaries · Military Health Care Provider avg: 658
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.102/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$4.6K
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MOLLY SETZER, D.O. reported a CMS MIPS final score of 91.102/100 — above the 83.1 national average — and filed 110 Medicare Part D claims in 2023.

91.102/100
MIPS score · +8 vs avg
110
Part D claims, 2023
85%
generic prescribing
$4.6K
industry payments (Sunshine Act)

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.

MOLLY SETZER, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

What does the federal data show about MOLLY SETZER, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 07/28/2013

NPI 1407298714

Primary specialty

Military Health Care Provider

Niche

3,007 US NPIs in this specialty

Medicare Part D claims

110 83% vs specialty avg

2023 prescription claims

Specialty avg: 658

MIPS final score

91.102/100 8.00200000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Military Health Care Provider compares to other specialties among North Carolina providers

North Carolina providers

Military Health Care Provider share within North Carolina

1. Military Health Care Provider42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Military Health Care Provider share within North Carolina

Medicare quality performance — MIPS

MOLLY SETZER, D.O.'s 2023 MIPS final score plotted against the Military Health Care Provider national average

High performer (top quartile)
MIPS Final Score
91.102/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Military Health Care Provider) — 91.102/100 vs national avg 83.1

0%100%National avg83%91.1%
MIPS final score (Military Health Care Provider) — 91.102/100 vs national avg 83.1

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).

MOLLY SETZER, D.O. appears in the CMS NPPES registry as a Military Health Care Provider provider holding D.O. credentials at 1501 TATE BLVD SE STE 201, HICKORY, NC, 28602, with a listed phone of (828) 322-4140. NPI 1407298714 was issued on 07/28/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SETZER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 110 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $9K in drug spend, split 15% brand-name and 85% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.102/100 for the 2023 performance year (Quality 90.09, Cost 80.2499), compared with the national average of 83.1.

Military Health Care Provider is a narrow specialty nationwide, with 3,007 enrolled providers across 51 states and an average of 658 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1501 TATE BLVD SE STE 201
HICKORY, NC 28602

Provider Details

NPI 1407298714
Specialty Military Health Care Provider
Credentials D.O.
Gender Female
NPI Issued 07/28/2013

CMS Quality Score (MIPS)

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

91.102
Final Score
Avg: 83.1
90.09
Quality
80.2499
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MOLLY SETZER, D.O. 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.

CATAWBA VALLEY MEDICAL CENTER
★★☆☆☆ 2/5
HICKORY, NC
Acute Care Hospitals
CMS CCN: 340143
UWH OF THE CAROLINAS PLLC
HICKORY, NC

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MOLLY SETZER, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$4.6K

Largest payer

INTUITIVE SURGICAL, INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

MOLLY SETZER, D.O. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 110 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

110
Total Claims
$9K
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
225
Total Day Supply
5,980
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$5K
Generic Drug Cost
$4K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
0.70
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Valacyclovir
Valacyclovir Hcl
15
Estradiol
13

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

Military Health Care Provider Overview

How MOLLY SETZER, D.O. fits within the Military Health Care Provider landscape nationally.

3,007
Military Health Care Provider Providers in US
51
States with Military Health Care Provider
658
Avg Claims per Provider

MOLLY SETZER, D.O.'s 110 claims are below the specialty average of 658.

Nearby Military Health Care Provider Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as SETZER.

Compare Military Health Care Provider nationally: see state-by-state distribution →

Frequently Asked Questions

What is MOLLY SETZER, D.O.'s specialty?
MOLLY SETZER, D.O. specializes in Military Health Care Provider and practices in HICKORY, North Carolina. Credentials: D.O..
How much does MOLLY SETZER, D.O. prescribe under Medicare Part D?
In 2023, MOLLY SETZER, D.O. wrote 110 Medicare Part D claims totaling $9K in drug costs for 38 beneficiaries.
What is MOLLY SETZER, D.O.'s Medicare quality score?
MOLLY SETZER, D.O. has a CMS MIPS Final Score of 91.102/100 (Quality: 90.09, Cost: 80.2499). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MOLLY SETZER, D.O. located?
MOLLY SETZER, D.O. is located at 1501 TATE BLVD SE STE 201, HICKORY, NC, 28602. Phone: (828) 322-4140.
What is MOLLY SETZER, D.O.'s NPI number?
MOLLY SETZER, D.O.'s National Provider Identifier (NPI) is 1407298714, issued on 07/28/2013.
Does MOLLY SETZER, D.O. prescribe more brand-name or generic drugs?
MOLLY SETZER, D.O.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $5K in brand drug costs.
How many Military Health Care Provider providers are there in the US?
There are 3,007 Military Health Care Provider providers across 51 states in the US. The average Military Health Care Provider provider writes 658 Medicare Part D claims per year.
What drugs does MOLLY SETZER, D.O. prescribe most often?
Based on 2023 Medicare Part D data, MOLLY SETZER, D.O.'s most frequently prescribed drugs include Valacyclovir, Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MOLLY SETZER, D.O. accept Medicare?
MOLLY SETZER, D.O. appears in CMS Medicare data with 110 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MOLLY SETZER, D.O.'s credentials?
MOLLY SETZER, D.O.'s NPI is 1407298714 with credentials D.O.. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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