WILLIAM SCOTT SETZER MD
NPI 1720047145
Family Medicine in Lemoyne, PA

Q: What is William Setzer's NPI number?

The NPI number for William Setzer is 1720047145. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Q: What is William Setzer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is William Setzer enrolled in Medicare?

No. William Setzer has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for William Setzer was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 23, 2006Opted out of Medicare · through Oct 1, 2027

645 N 12TH ST, SUITE 300, LEMOYNE, PA 17043(717) 724-0290(717) 695-6290 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About William Scott Setzer Md NPPES

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

WILLIAM SCOTT SETZER MD (NPI 1720047145) is an individual family medicine provider in Lemoyne, Pennsylvania, licensed in Pennsylvania (MD062206L) and active in the NPI registry since March 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of University Of Virginia School Of Medicine (1994).

NPPES Registry Identity

NPI1720047145

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameWILLIAM SCOTT SETZERCredential: MD

Location Address645 N 12TH ST, SUITE 300Lemoyne, PA 17043-1219

Mailing Address645 N 12th St, Suite 300Lemoyne, PA 17043-1219 · (717) 724-0290 · Fax (717) 695-6290

Phone(717) 724-0290

Fax(717) 695-6290

Sole ProprietorYes

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1994

Enumeration DateMarch 23, 2006

Last NPPES UpdateOctober 5, 2011

✔ NPI 1720047145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD062206L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

645 N 12TH ST, Lemoyne, PA 17043

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified953130PA

Medicare UPING53824

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

William Scott Setzer Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2011 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2011

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare 2

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390004

Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County

Emergency services

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers14 claims64 services$1.70 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$34.92 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

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

PAUL H SMITH JR. M.D.

Urology

645 N 12TH ST, SUITE 300
LEMOYNE, PA 17043

Cumberland County (717) 763-7037

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 William Setzer's NPI number?

The NPI number for William Setzer is 1720047145. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is William Setzer located?

William Setzer practices at 645 N 12th St Suite 300, Lemoyne, PA 17043. The listed phone number is (717) 724-0290.

What is William Setzer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Setzer enrolled in Medicare?

No. William Setzer has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is William Setzer affiliated with any hospitals?

According to CMS data, William Setzer is affiliated with Penn State Health Holy Spirit Medical Center and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for William Setzer was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.