MICHAEL DAVID SETTON DO
NPI 1114082195
Radiology - Diagnostic Radiology in East Islip, NY

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
87.72/100
CMS Quality Rating
369 E MAIN ST, SUITE 18, EAST ISLIP, NY 11730(631) 277-1600(631) 277-1638 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael David Setton Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DAVID SETTON DO (NPI 1114082195) is an individual diagnostic radiology provider in East Islip, New York, licensed in New York (247615) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2002).

NPPES Registry Identity

NPI1114082195
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL DAVID SETTONCredential: DO
Location Address369 E MAIN ST, SUITE 18East Islip, NY 11730-2800
Mailing Address369 E Main St, Suite 18East Islip, NY 11730-2800 · (631) 277-1600 · Fax (631) 277-1638
Fax(631) 277-1638
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2002
Enumeration DateDecember 27, 2006
Last NPPES UpdateOctober 27, 2009
NPI 1114082195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NY · 247615 Licensed in PA · OT010610
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
369 E MAIN ST, East Islip, NY 11730

Other Identifiers 6

Medicare PINA400000059NY
Medicare PINA400000086NY
Medicare PINA400000057NY
Medicare PINA400000058NY
Medicaid02976401NY
Medicare PINA400000087NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael David Setton Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032201371
PECOS Enrollment IDI20080619000364
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 35

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
5,570 services30 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
1,382 services1,382 patients
Dxa bone density measurement of forearm, finger, hand, or foot 77081
A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.
283 services283 patients
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085
A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.
243 services243 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
228 services209 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
161 services148 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
369 E MAIN ST, SUITE 18
EAST ISLIP, NY 11730
Audiologist
369 E MAIN ST, SUITE 1
EAST ISLIP, NY 11730
Optometrist
369 E MAIN ST, SUITE 6
EAST ISLIP, NY 11730
Audiologist
369 E MAIN ST, SUITE 1
EAST ISLIP, NY 11730
Obstetrics & Gynecology (Gynecology)
369 E MAIN ST, SUITE11 BLDG 2
EAST ISLIP, NY 11730
Radiology (Diagnostic Radiology)
369 E MAIN ST, SUITE 18
EAST ISLIP, NY 11730
Eyewear Supplier
369 E MAIN ST, SUITE 6
EAST ISLIP, NY 11730
Family Medicine
369 E MAIN ST, SUITE 3
EAST ISLIP, NY 11730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Setton's NPI number?

The NPI number for Michael Setton is 1114082195. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Michael Setton located?

Michael Setton practices at 369 E Main St Suite 18, East Islip, NY 11730. The listed phone number is (631) 277-1600.

What is Michael Setton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Setton enrolled in Medicare?

Yes. Michael Setton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Setton was last updated on October 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.