Shaan Setia, MD
Urology Physician · Oak Brook, IL
Shaan Setia, MD is a urology physician with a practice address in Oak Brook, Illinois, and NPI 1427410182, issued on Mar 22, 2016. Check the license (Illinois 036165000, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Shaan Setia
- Credential
- MD
- Primary taxonomy
- Urology Physician 208800000X
- License number
- 036165000 IL
Self-reported in NPPES; status is on the state search - Practice location
- 2011 York RD Ste 2000A, Oak Brook, IL 60523
- Phone
- (630) 724-1300
- Enumerated
- Mar 22, 2016
- Record last updated
- Oct 8, 2024
- Medicare enrollment
- Enrolled (PECOS I20230911002771); accepts Medicare assignment
- Medical or professional school
- University Of Virginia School Of Medicine, 2016
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest urology physician records → All 629 in Illinois → Look up another NPI →
Verify Shaan Setia 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 036165000Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
73% fewer Medicare Part D claims than the average urology physician in 2024
356 Medicare Part D claims for 144 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims.
Most prescribed
- Tamsulosin Hcl73 claims
- Amoxicillin-Clavulanate Potass51 claims
- Myrbetriq37 claims
- Solifenacin Succinate36 claims
- Nitrofurantoin Mono-Macro28 claims
- Oxybutynin Chloride Er24 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): 97.1 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).
Industry payments in 2024: $308.71
6 payments; by number, the most common kind was food and beverage; the largest payer was Procept BioRobotics Corporation. The 9,340 providers of this specialty with any payment received $3,800.04 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.
Bills Medicare through one group practice
- Rush University Medical GroupOak Brook, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shaan Setia among 629 urology physician records in Illinois
Shaan Setia, MD is one of 629 urology physician records with a practice address in Illinois. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 73% of them.
- NPI issued2016 · 73% of these records are older, 24% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2016 · median 2002 among the 341 with a school on file
- Record last updated2024 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in Illinois
There are 629 urology physician records in Illinois.
All 629 in Illinois → Every provider in Oak Brook → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- Arif Agha, MDOak Brook, IL 605231285711325
- Joel Cornfield, MDHinsdale, IL 605211376543249
- Derek De Mann, DOHinsdale, IL 605211134681729
- Chirag Doshi, M.D.La Grange Highlands, IL 605251780078063
- Risha Foster, MDLa Grange Highlands, IL 605251376706630
- Samuel Krengel, M.D.Hinsdale, IL 605211497755375
- John Kritsas, M.D.Hinsdale, IL 605211134129018
- Michael Milani, D.O.La Grange Highlands, IL 605251982617056
Common questions
What is Shaan Setia, MD's NPI number?
Shaan Setia, MD's National Provider Identifier (NPI) is 1427410182, issued on Mar 22, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Shaan Setia, MD located?
The NPPES record lists a practice address at 2011 York RD Ste 2000A, Oak Brook, IL, 60523. Phone: (630) 724-1300. Providers update this record themselves, so call before visiting.
How can I verify Shaan Setia, MD's license?
NPPES lists Illinois license number 036165000, 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 Shaan Setia, MD prescribe under Medicare Part D?
In 2024, Shaan Setia, MD had 356 Medicare Part D claims for 144 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.
What is Shaan Setia, MD's MIPS final score?
The 2023 MIPS final score is 97.1 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.