CHARLES ADAM SETSER MD
NPI 1629024112
Internal Medicine in Centerville, OH

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
7073 CLYO RD, CENTERVILLE, OH 45459(937) 435-5857(937) 912-4960 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Adam Setser Md NPPES

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

CHARLES ADAM SETSER MD (NPI 1629024112) is an individual internal medicine provider in Centerville, Ohio, licensed in Ohio (35- 07-6961) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Ohio State University College Of Medicine (1998).

NPPES Registry Identity

NPI1629024112
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES ADAM SETSERCredential: MD
Location Address7073 CLYO RDCenterville, OH 45459-4816
Mailing Address36123 Schoolcraft RdLivonia, MI 48150-1216 · (734) 793-6140 · Fax (734) 402-0254
Fax(937) 912-4960
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1998
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 9, 2017
NPI 1629024112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OH · 35- 07-6961 Licensed in KY · 49624
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7073 CLYO RD, Centerville, OH 45459

Other Identifiers 5

Medicare UPINH34025
Medicare PIN4046034OH
Medicare PIN4046033OH
Medicaid2239947OH
Medicare PINSE4046035

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

Charles Adam Setser 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 ID9638150022
PECOS Enrollment IDI20040601000778
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
532 services199 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
180 services176 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services75 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%89 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$13.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$63.34 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 15

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

Internal Medicine
7073 CLYO RD
CENTERVILLE, OH 45459
Internal Medicine
7073 CLYO RD
CENTERVILLE, OH 45459
Family Medicine
7073 CLYO RD
CENTERVILLE, OH 45459
Nurse Practitioner (Family)
7073 CLYO RD
CENTERVILLE, OH 45459
Internal Medicine
7073 CLYO RD
CENTERVILLE, OH 45459
Dentist (General Practice)
7073 CLYO RD
CENTERVILLE FINANCE, OH 45459
Family Medicine
7073 CLYO RD
CENTERVILLE, OH 45459
Nurse Practitioner (Family)
7073 CLYO RD
CENTERVILLE, OH 45459

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 Charles Setser's NPI number?

The NPI number for Charles Setser is 1629024112. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Charles Setser located?

Charles Setser practices at 7073 Clyo Rd, Centerville, OH 45459. The listed phone number is (937) 435-5857.

What is Charles Setser's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Setser enrolled in Medicare?

Yes. Charles Setser 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 Charles Setser accept?

Health plans from CareSource list Charles Setser 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 Charles Setser affiliated with any hospitals?

According to CMS data, Charles Setser is affiliated with Mercy Health-Anderson Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Charles Setser was last updated on February 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.