Roy D. Settergren, M.D.
Hospitalist Physician · Hinsdale, IL
Roy D. Settergren, M.D. is a hospitalist physician with a practice address in Hinsdale, Illinois, and NPI 1194055863, issued on Jan 2, 2010. Check the license (Illinois 036153573, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Roy D. Settergren
- Credential
- M.D.
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License numbers
- 036153573 IL
75081-20 WI
Self-reported in NPPES; status is on the state search - Practice location
- 120 N Oak St, Hinsdale, IL 60521
- Phone
- (630) 856-9000
- Enumerated
- Jan 2, 2010
- Record last updated
- Oct 13, 2025
- Medicaid ID
- 100165664 WI
- Medicare enrollment
- Enrolled (PECOS I20220310002814); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 1,535 in Illinois → Look up another NPI →
Also registered at 120 N Oak St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Kimberly Baran, DONeonatal-Perinatal Medicine Physician1447749163
Verify Roy D. Settergren in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036153573Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
1% fewer Medicare Part D claims than the average hospitalist physician in 2024
516 Medicare Part D claims for 196 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. 35 claims were for opioids.
Most prescribed
- Cefdinir29 claims
- Prednisone27 claims
- Atorvastatin Calcium21 claims
- Hydrocodone-Acetaminophen19 claims
- Amlodipine Besylate16 claims
- Azithromycin16 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.
The MIPS final score for 2023 (Medicare payment program): 75.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Advance Inpatient Medicine LLCBolingbrook, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Roy D. Settergren among 1,535 hospitalist physician records in Illinois
Roy D. Settergren, M.D. is one of 1,535 hospitalist physician records with a practice address in Illinois. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 30% of them.
- NPI issued2010 · 30% of these records are older, 65% newer
- In a Medicare fileYes · 92% of these records are
- In the CMS Doctors and Clinicians fileYes · 87% of these records are
- Graduated2009 · median 2013 among the 1,339 with a school on file
- Record last updated2025 · 32% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Hospitalist Physician providers in Illinois
There are 1,535 hospitalist physician records in Illinois.
All 1,535 in Illinois → Every provider in Hinsdale → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- William Estes, MDHinsdale, IL 605211710515150
- Sean Paknoosh, DOHinsdale, IL 605211336881762
- Malaika Peart, MDHinsdale, IL 605211801095401
- Alaa ZaiedHinsdale, IL 605211306341391
- Ravi George, D.O.Oak Brook, IL 605231033151873
- Heather Huston, MDOak Brook, IL 605231245805134
- Adrian Jova, D.O.Oak Brook, IL 605231205295144
- Arun Jacob, MDLa Grange, IL 605251720608011
Common questions
What is Roy D. Settergren, M.D.'s NPI number?
Roy D. Settergren, M.D.'s National Provider Identifier (NPI) is 1194055863, issued on Jan 2, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Roy D. Settergren, M.D. located?
The NPPES record lists a practice address at 120 N Oak St, Hinsdale, IL, 60521. Phone: (630) 856-9000. Providers update this record themselves, so call before visiting.
How can I verify Roy D. Settergren, M.D.'s license?
NPPES lists Illinois license number 036153573, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Roy D. Settergren, M.D. prescribe under Medicare Part D?
In 2024, Roy D. Settergren, M.D. had 516 Medicare Part D claims for 196 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Roy D. Settergren, M.D.'s MIPS final score?
The 2023 MIPS final score is 75.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
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.