DR. RONALD KARL SETZKORN MD
NPI 1902809445
Radiology - Radiation Oncology in Troy, OH

Q: What is Ronald Setzkorn's NPI number?

The NPI number for Ronald Setzkorn is 1902809445. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Q: What is Ronald Setzkorn's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Setzkorn was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 30, 2005PECOS EnrolledAccepts Medicare Assignment

89.58/100

CMS Quality Rating

3130 N COUNTY ROAD 25A, TROY, OH 45373(937) 293-1622(937) 245-6308 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 7, 2022, Dec 30, 2020, Sep 4, 2019 and 4 more (7 updates tracked since 2015).

On this page

About Dr. Ronald Karl Setzkorn Md NPPES

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

DR. RONALD KARL SETZKORN MD (NPI 1902809445) is an individual radiation oncology provider in Troy, Ohio, licensed in Ohio (35078637S) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1982).

NPPES Registry Identity

NPI1902809445

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. RONALD KARL SETZKORNCredential: MD

Location Address3130 N COUNTY ROAD 25ATroy, OH 45373-1337

Mailing Address6680 Poe Ave Ste 200Dayton, OH 45414-2855 · (937) 280-8400 · Fax (937) 280-8373

Phone(937) 293-1622

Fax(937) 245-6308

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1982

Enumeration DateMay 30, 2005

Last NPPES UpdateJanuary 7, 20227 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2022

✔ NPI 1902809445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in OH · 35078637S

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

3130 N COUNTY ROAD 25A, Troy, OH 45373

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Other Identifiers 4

Other36-00515United Healthcare

Other000000204952Blue Cross Blue Shield

Other2557293Aetna

Medicaid2278271OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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

Dr. Ronald Karl Setzkorn 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 ID2668363466

PECOS Enrollment IDI20040322001530

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 26

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

8,100 services57 patients

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015

Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulatingâ€”or controllingâ€”the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.

754 services50 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

734 services48 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.

314 services191 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

229 services47 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

228 services48 patients

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev G6013

This procedure involves using high-energy radiation to target and treat disease. It covers 3 or more distinct areas, using custom blocks to protect healthy tissue. Tangential ports, wedges, and rotational beams help direct the radiation. An electron beam of 11-19 million electron volts (mev) is used for deep-seated conditions.

205 services21 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

199 services64 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

198 services62 patients

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev G6012

Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.

197 services26 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

98 services13 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.

59 services59 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

50 services31 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

44 services44 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

40 services32 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

37 services36 patients

Special medical radiation therapy consultation 77370

A special medical radiation therapy consultation involves discussing the use of high-energy radiation to treat diseases, primarily cancer. It's a chance to understand the process, potential side effects, and benefits. It is a key step in planning your treatment.

37 services27 patients

X-ray during radiation therapy 77417

An X-ray during radiation therapy is a medical process that helps in tracking the progress of your treatment. It uses small amounts of radiation to create images of your body's internal structure. This aids in ensuring the therapy is accurately targeting the problem area and not harming healthy tissues.

35 services12 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

33 services30 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

25 services20 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

20 services20 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

19 services18 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

17 services16 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

15 services15 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

15 services13 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360013

Location915 West Michigan StreetSidney, OH 45365 · Shelby County

Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

89.58/100

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

Individually scored

Quality

81.06

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

73%178 patients4/55-star benchmark: 93%

Cervical Cancer Screening

26%84 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

53%331 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

54%250 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

24%78 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

42%78 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%1,083 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

31%397 patients2/55-star benchmark: 100%

HIV Screening

6%221 patients1/55-star benchmark: 60%

Oncology: Medical and Radiation - Pain Intensity Quantified

98%922 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

58%571 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

99%415 patients5/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

15%483 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 419 patients

Patients screened: 100% · 419 patients

78%60 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%337 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81%337 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 12% · 402 patients

Patients totalRate: 23% · 402 patients

23%402 patients2/55-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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

2 suppliers14 claims404 services$4.10 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier14 claims8,626 services$0.35 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 20

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

CHRISTINE L ASHER PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

3130 N COUNTY ROAD 25A
TROY, OH 45373

Miami County (937) 440-7626

SARAH JONES ACNS-BC, AOCNS

Clinical Nurse Specialist (Adult Health)

3130 N COUNTY ROAD 25A, CANCER CARE CENTER
TROY, OH 45373

Miami County (937) 440-4827

SUSAN BETH GRAU MD

Family Medicine

3130 N COUNTY ROAD 25A
TROY, OH 45373

Miami County (937) 440-4466

MRS. KARA SUE BRUSKOTTER CNP

Nurse Practitioner (Family)

3130 N COUNTY ROAD 25A
TROY, OH 45373

Miami County (937) 638-8176

CHARLES N SMITH CRNA

Nurse Anesthetist, Certified Registered

3130 N COUNTY ROAD 25A
TROY, OH 45373

Miami County (614) 459-7830

MARK COOPER LSW

Social Worker

3130 N COUNTY ROAD 25A
TROY, OH 45373

Miami County (937) 440-7001

UPPER VALLEY MEDICAL CENTER

Home Health

3130 N COUNTY ROAD 25A
TROY, OH 45373

Miami County (937) 440-7979

BRIAN ALLEN HAYNES PHARMD

Pharmacist

3130 N COUNTY ROAD 25A
TROY, OH 45373

Miami County (937) 440-4760

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 Ronald Setzkorn's NPI number?

The NPI number for Ronald Setzkorn is 1902809445. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Where is Ronald Setzkorn located?

Ronald Setzkorn practices at 3130 N County Road 25A, Troy, OH 45373. The listed phone number is (937) 293-1622.

What is Ronald Setzkorn's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Ronald Setzkorn enrolled in Medicare?

Yes. Ronald Setzkorn 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 Ronald Setzkorn accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Ronald Setzkorn 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 Ronald Setzkorn affiliated with any hospitals?

According to CMS data, Ronald Setzkorn is affiliated with Wilson Memorial Hospital, Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Ronald Setzkorn was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.