DR. ARVEITY RAGHAVENDRA SETTY MD
NPI 1174755615
Pediatrics in Fargo, ND

Active since August 18, 2009PECOS EnrolledAccepts Medicare Assignment
92.65/100
CMS Quality Rating
2701 13TH AVE S, FARGO, ND 58103(701) 234-3620 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Arveity Raghavendra Setty Md NPPES

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

DR. ARVEITY RAGHAVENDRA SETTY MD (NPI 1174755615) is an individual pediatrics provider in Fargo, North Dakota, licensed in North Dakota (13176) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Riverview Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1174755615
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ARVEITY RAGHAVENDRA SETTYCredential: MD
Location Address2701 13TH AVE SFargo, ND 58103
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 18, 2009
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1174755615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in ND · 13176
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License PT 13176 (ND)
2701 13TH AVE S, Fargo, ND 58103

Other Identifiers 1

Medicaid18673ND

Accepted Insurance

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

Dr. Arveity Raghavendra Setty Md 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 ID2769623032
PECOS Enrollment IDI20140609002422, I20170720002958
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 7

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.

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
148 services141 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
129 services129 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services38 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
27 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Hospital

Critical Access Hospitals · Crookston, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241320
Location323 South MinnesotaCrookston, MN 56716 · Polk County
Emergency services

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351334
Location1301 15th Ave WWilliston, ND 58801 · Williams County
Emergency services Birthing friendly

Chi St Alexius Health Dickinson

Critical Access Hospitals · Dickinson, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351336
Location2500 Fairway StreetDickinson, ND 58601 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
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.

92.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.73
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers54 claims54 services$39.14 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers35 claims35 services$97.21 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers51 claims92 services$37.64 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers21 claims21 services$57.99 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers48 claims48 services$19.83 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers75 claims256 services$2.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pharmacist (Pediatrics)
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Nurse Practitioner (Pediatrics)
2701 13TH AVE S
FARGO, ND 58103
Pharmacist
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103

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 Arveity Setty's NPI number?

The NPI number for Arveity Setty is 1174755615. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Arveity Setty located?

Arveity Setty practices at 2701 13th Ave S, Fargo, ND 58103. The listed phone number is (701) 234-3620.

What is Arveity Setty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Arveity Setty enrolled in Medicare?

Yes. Arveity Setty 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.

What insurance does Arveity Setty accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Security Health Plan list Arveity Setty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Arveity Setty affiliated with any hospitals?

According to CMS data, Arveity Setty is affiliated with Riverview Hospital, Chi St Alexius Health, Sanford Medical Center Bismarck, Chi St Alexius Health Williston and Chi St Alexius Health Dickinson.

When was this NPI record last updated?

The NPPES record for Arveity Setty was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.