Gavin Setzen, MD
NPI 1063419232ActiveIndividual· Otolaryngology· Albany, NY
Otolaryngology (MD) with Albany ENT and Allergy Services PC, practicing in Albany, New York. 622 Medicare patients in 2024, $157,300 paid; nearly all of their 2,678 Part D prescriptions were generic (97%). Aerin Medical Inc. was the largest of 15 companies reporting payments in 2025, $69,713 in all, mostly consulting fees. Lists Samaritan Hospital of Troy, New York and 1 other hospital as hospital affiliations.
Overview
| NPI | 1063419232 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 3, 2005 |
| Last updated in NPPES | Oct 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 191506 | NY |
| Otolaryngology, Facial Plastic Surgery | 207YS0123X | 1915061 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Otolaryngology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 622 |
|---|---|
| Services billed | 8,681 across 52 procedure codes |
| Paid by Medicare | $157,300 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,678 · 6,072 30-day fills |
|---|---|
| Patients | 662 |
| Total drug cost | $132,144 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Otolaryngology |
Medical group
- Albany ENT and Allergy Services PCAlbany, NY · 46 clinicians
Hospital affiliations
- Samaritan Hospital of Troy, New YorkTroy, NY
- St Peter's HospitalAlbany, NY
Industry payments (Open Payments)
- 2025$69,713 · 30 payments from 15 companies
- 2024$66,502 · 44 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Aerin Medical Inc. | $56,120 | 7 |
| Stryker Corporation | $8,445 | 7 |
| Lilly USA, LLC | $3,750 | 1 |
| Smith+nephew, Inc. | $862.50 | 1 |
| Amgen Inc. | $121.84 | 1 |
What the 2025 payments were for
- Consulting Fee$64,913 · 11 payments
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3,750 · 1 payment
- Food and Beverage$983.38 · 17 payments
- Education$67.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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