TIMOTHY DAVID SETZER FNP
NPI 1609189372
Nurse Practitioner - Family in Charlotte, NC
About Timothy David Setzer Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY DAVID SETZER FNP (NPI 1609189372) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5004804) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Timothy David Setzer Fnp 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCAtrium Health University City
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
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 Timothy Setzer's NPI number?
The NPI number for Timothy Setzer is 1609189372. It was assigned to this individual provider in the NPPES registry on July 22, 2010.
Where is Timothy Setzer located?
Timothy Setzer practices at 101 E W T Harris Blvd Bldg 5000 Suite #5101, Charlotte, NC 28262. The listed phone number is (704) 863-5847.
What is Timothy Setzer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Timothy Setzer enrolled in Medicare?
Yes. Timothy Setzer 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 Timothy Setzer accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Timothy Setzer 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 Timothy Setzer affiliated with any hospitals?
According to CMS data, Timothy Setzer is affiliated with Carolinas Medical Center/Behav Health and Atrium Health University City.
When was this NPI record last updated?
The NPPES record for Timothy Setzer was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Timothy David Setzer, FNP · NPI 1609189372
Family physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since July 22, 2010.
## Identity
- **NPI:** 1609189372 (Entity type: Individual)
- **Enumerated:** July 22, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5004804 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101, Charlotte, NC 28262-3485
- **Phone:** (704) 863-5847
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609189372) · Data from the CMS NPPES public registry.