SHAUN PRASANTH SETTY M.D.
NPI 1740469147
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Palo Alto, CA
About Shaun Prasanth Setty M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUN PRASANTH SETTY M.D. (NPI 1740469147) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Palo Alto, California, licensed in California (A99225) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Toledo College Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 2
Accepted 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
Shaun Prasanth Setty M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Shaun Setty reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
Honolulu, HI 96826
- Reassigned Medicare billing, Hawaii enrollment
- 370 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shaun Setty's NPI number?
The NPI number for Shaun Setty is 1740469147. It was assigned to this individual provider in the NPPES registry on November 1, 2007.
Where is Shaun Setty located?
Shaun Setty practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.
What is Shaun Setty's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Shaun Setty enrolled in Medicare?
Yes. Shaun Setty 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.
Which organizations bill Medicare for Shaun Setty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Setty reassigns Medicare benefits to 4 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA), Stanford Health Care (Stanford, CA), Memorialcare Medical Foundation (Fountain Valley, CA) and Kapiolani Medical Specialists (Honolulu, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaun Setty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaun Setty accept?
Health plans from CareSource list Shaun Setty 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.
When was this NPI record last updated?
The NPPES record for Shaun Setty was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Shaun Prasanth Setty, M.D. · NPI 1740469147
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since November 1, 2007.
## Identity
- **NPI:** 1740469147 (Entity type: Individual)
- **Enumerated:** November 1, 2007
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** A99225 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 WELCH RD, Palo Alto, CA 94304-1601
- **Phone:** (650) 497-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Stanford Health Care (NPI 1437292927, Stanford, CA); Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA); Kapiolani Medical Specialists (NPI 1124071014, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 1997
## Record status
- **NPPES last updated:** November 12, 2024
- **Other identifiers:** Medicaid 1141496 (LA); Medicaid 08133507 (MS)
---
Source: [NPI Profile](https://npiprofile.com/npi/1740469147) · Data from the CMS NPPES public registry.