Michael Setzen, M.D.
NPI 1356381628ActiveIndividual· Specialist· Great Neck, NY
Specialist (M.D.) in Great Neck, New York, licensed in NY, with an NPI issued in June 2006. 476 Medicare patients in 2024, $415,126 paid; nearly all of their 550 Part D prescriptions were generic (97%). Aerin Medical Inc. was the largest of 7 companies reporting payments in 2025, $39,588 in all, mostly consulting fees.
Overview
| NPI | 1356381628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | Dec 29, 2021 |
| Certified by provider | Dec 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 150950 | 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 | 476 |
|---|---|
| Services billed | 3,638 across 41 procedure codes |
| Paid by Medicare | $415,126 |
Part D prescriptions in 2024
| Prescriptions (claims) | 550 · 1,162 30-day fills |
|---|---|
| Patients | 189 |
| Total drug cost | $18,123 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1974 |
|---|---|
| Medicare specialty | Otolaryngology |
Industry payments (Open Payments)
- 2025$39,588 · 37 payments from 7 companies
- 2024$6,484 · 22 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Aerin Medical Inc. | $38,907 | 14 |
| Genzyme Corporation | $279.04 | 8 |
| Regeneron Healthcare Solutions, Inc. | $116.95 | 4 |
| Glaxosmithkline, LLC. | $116.02 | 5 |
| Optinose US, Inc. | $104.33 | 4 |
What the 2025 payments were for
- Consulting Fee$37,875 · 6 payments
- Food and Beverage$1,713 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 130 Specialist providers in Great Neck · All Specialist providers in New York