DR. KEVIN J SETTER MD
NPI 1740285584
Orthopaedic Surgery - Hand Surgery in East Syracuse, NY

Q: What is Kevin Setter's NPI number?

The NPI number for Kevin Setter is 1740285584. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Kevin Setter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Setter was last updated on November 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment

92.32/100

CMS Quality Rating

6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057(315) 464-4472 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kevin J Setter Md NPPES

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

DR. KEVIN J SETTER MD (NPI 1740285584) is an individual hand surgery provider in East Syracuse, New York, licensed in New York (227984) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of State University Of Ny Upstate Medical University (1998).

NPPES Registry Identity

NPI1740285584

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. KEVIN J SETTERCredential: MD

Location Address6620 FLY ROAD, STE 200East Syracuse, NY 13057

Mailing Address6620 Fly Road, Ste 200East Syracuse, NY 13057 · (315) 464-4472

Phone(315) 464-4472

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1998

Enumeration DateJune 17, 2005

Last NPPES UpdateNovember 30, 2009

✔ NPI 1740285584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in NY · 227984

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 227984 (NY)

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 227984 (NY)

6620 FLY ROAD, East Syracuse, NY 13057

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Other Identifiers 3

Medicaid02644026NY

Medicare UPINI30526NY

Medicare PINRA6778NY

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. Kevin J Setter 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 ID1153365788

PECOS Enrollment IDI20050615000144

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 22

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.

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

649 services367 patients

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.

204 services168 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

119 services97 patients

Ct scan of arm without contrast 73200

A CT scan of the arm without contrast is a non-invasive imaging test. It uses X-ray technology to capture detailed images of your arm's structures. It doesn't involve any contrasting dye, hence, minimal preparation is required. It helps in diagnosing injuries or conditions affecting the arm.

106 services58 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.

101 services90 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

96 services96 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

90 services39 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

73 services43 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

71 services49 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.

56 services56 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

54 services54 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

43 services25 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

27 services26 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

26 services25 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

25 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services25 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

23 services16 patients

Revision of total shoulder repair, total shoulder 23474

A revision of total shoulder repair is a procedure performed if an initial shoulder replacement surgery didn't achieve desired results or complications have arisen. The surgeon replaces the previously implanted artificial shoulder joint with a new one, aiming to restore function and relieve pain.

20 services15 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

20 services20 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

18 services14 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

14 services13 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

92.32/100

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

Scored as part of a group practice

Quality

90.54

Promoting Interoperability

100

Improvement Activities

Cost

83.88

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.

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier85 claims86 services$70.29 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier11 claims13 services$56.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. ERIC N BECK MBBCH

Psychiatry & Neurology (Neurology)

6620 FLY ROAD, SUITE 305
EAST SYRACUSE, NY 13057

Onondaga County (315) 464-3938

DR. WILLIAM F LAVELLE MD

Orthopaedic Surgery

6620 FLY ROAD, SUITE 200
EAST SYRACUSE, NY 13057

Onondaga County (315) 464-4472

DR. BHAWNA JHA MD

Psychiatry & Neurology (Neurology)

6620 FLY ROAD, SUITE 305
EAST SYRACUSE, NY 13057

Onondaga County (315) 464-3938

DR. JON B LOFTUS MD

Plastic Surgery (Surgery of the Hand)

6620 FLY ROAD, STE 200
EAST SYRACUSE, NY 13057

Onondaga County (315) 464-4472

DR. KATHRYN E PALOMINO MD

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

6620 FLY ROAD, STE 200
EAST SYRACUSE, NY 13057

Onondaga County (315) 464-4472

STEPHANIE M GARLAND NP

Psychiatry & Neurology (Neurology)

6620 FLY ROAD, SUITE 305
EAST SYRACUSE, NY 13057

Onondaga County (315) 464-3938

UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

6620 FLY ROAD, SUITE 300
EAST SYRACUSE, NY 13057

Onondaga County (315) 432-5960

MATTHEW J BURNETT PA

Physician Assistant (Surgical)

6620 FLY ROAD, STE 200
EAST SYRACUSE, NY 13057

Onondaga County (315) 464-4472

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 Kevin Setter's NPI number?

The NPI number for Kevin Setter is 1740285584. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Kevin Setter located?

Kevin Setter practices at 6620 Fly Road Ste 200, East Syracuse, NY 13057. The listed phone number is (315) 464-4472.

What is Kevin Setter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Kevin Setter enrolled in Medicare?

Yes. Kevin Setter 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.

Is Kevin Setter affiliated with any hospitals?

According to CMS data, Kevin Setter is affiliated with Crouse Hospital and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Kevin Setter was last updated on November 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.