DR. MOLLY KELLY SETZER D.O.
NPI 1407298714
Obstetrics & Gynecology in Hickory, NC

Q: What is Molly Setzer's NPI number?

The NPI number for Molly Setzer is 1407298714. It was assigned to this individual provider in the NPPES registry on July 28, 2013.

Q: What is Molly Setzer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Molly Setzer was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 28, 2013PECOS EnrolledAccepts Medicare Assignment

91.1/100

CMS Quality Rating

1501 TATE BLVD SE STE 201, HICKORY, NC 28602(828) 322-4140(828) 322-3767 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2021, Oct 22, 2018 (2 updates tracked since 2018).

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About Dr. Molly Kelly Setzer D.o. NPPES

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

DR. MOLLY KELLY SETZER D.O. (NPI 1407298714) is an individual obstetrics & gynecology provider in Hickory, North Carolina, licensed in North Carolina (2021-02288) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Catawba Valley Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2013).

NPPES Registry Identity

NPI1407298714

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MOLLY KELLY SETZERCredential: D.O.

Location Address1501 TATE BLVD SE STE 201Hickory, NC 28602-1385

Mailing Address1501 Tate Blvd Se Ste 201Hickory, NC 28602-1385 · (828) 322-4140

Phone(828) 322-4140

Fax(828) 322-3767

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2013

Enumeration DateJuly 28, 2013

Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2021

✔ NPI 1407298714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NC · 2021-02288✔ Licensed in IN · 02004670A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 02004670A (IN)

1501 TATE BLVD SE STE 201, Hickory, NC 28602

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Molly Kelly Setzer D.o. 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 ID8729482724

PECOS Enrollment IDI20210813000313

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.

Medicare Billing Reassignments

Medicare enrollment records show Molly Setzer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Catawba Valley Medical Center

1.8 mi

Internal Medicine

56 12TH AVE NE
Hickory, NC 28601

Reassigned Medicare billing, North Carolina enrollment
59 clinicians in this Medicare group

NPI 1952546756 (828) 326-2145

Uwh Of The Carolinas, PLLC

140 mi

Obstetrics & Gynecology

200 PERIMETER PARK DR STE B
Morrisville, NC 27560

Reassigned Medicare billing, North Carolina enrollment
413 clinicians in this Medicare group

NPI 1639506470 (919) 334-0150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services15 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

21 services21 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

21 services21 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340143

Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

91.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.09

Promoting Interoperability

100

Improvement Activities

Cost

80.24

Other Providers at the Same Location NPPES 13

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

MR. ROBERT D BOYD MD

Obstetrics & Gynecology (Gynecology)