Roy A. Setzenfand, MD
NPI 1659305696ActiveIndividual· Internal Medicine· Carrollton, TX
Internal Medicine (MD) in Carrollton, Texas, trained at Hahnemann University College of Medicine (class of 1994). Their prescriptions cost Medicare Part D more than their services did: $343,439 for 2,373 claims, against $7,839 paid for services in 2024. Pfizer Inc. was the largest of 2 companies reporting payments in 2025, $91.26 in all, mostly food and beverage.
Overview
| NPI | 1659305696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 10, 2006 |
| Last updated in NPPES | May 17, 2022 |
| Certified by provider | May 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | L8947 | TX |
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 - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 122 across 16 procedure codes |
| Paid by Medicare | $7,839 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,373 · 5,851 30-day fills |
|---|---|
| Patients | 445 |
| Total drug cost | $343,439 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Hahnemann University College of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Internal Medicine |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Oak Street Health of Texas PLLCDuncanville, TX · 101 clinicians
Industry payments (Open Payments)
- 2025$91.26 · 5 payments from 2 companies
- 2024$99.90 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $69.90 | 4 |
| Exact Sciences Corporation | $21.36 | 1 |
What the 2025 payments were for
- Food and Beverage$91.26 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 53 internal medicine physicians in Carrollton · All internal medicine physicians in Texas