MEL SETTER PA-C
NPI 1922022581
Physician Assistant in Topeka, KS

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
30.85/100
CMS Quality Rating
920 SW LANE ST, SUITE # 200, TOPEKA, KS 66606(785) 233-0500(785) 233-0660 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mel Setter Pa-c NPPES

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

MEL SETTER PA-C (NPI 1922022581) is an individual physician assistant in Topeka, Kansas, licensed in Kansas (1500587) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1922022581
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMEL SETTERCredential: PA-C
Location Address920 SW LANE ST, SUITE # 200Topeka, KS 66606-1543
Mailing Address920 Sw Lane St, Suite # 200Topeka, KS 66606-1543 · (785) 233-0500 · Fax (785) 233-0660
Fax(785) 233-0660
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 17, 2012
NPI 1922022581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KS · 1500587
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
920 SW LANE ST, Topeka, KS 66606

Other Identifiers 13

Other000KS · Cigna
Other000KS · Coventry
Medicare UPINF40625KS
Other000KS · Children's Mercy
Other000KS · Humana/choice Care
Medicare PIN426857KS
Other000KS · Century Health Solutions
Other000KS · Multiplan
Other426857KS · Blue Cross Blue Shield
Other210556KS · Health Partners Of Kansas
Other000KS · Tricare
Medicaid100346390CKS
Other000KS · Preferred Health Systems

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

Mel Setter Pa-c 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 ID1355385220
PECOS Enrollment IDI20050613000814
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 6

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.

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.
1,140 services637 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
51 services47 patients
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433
This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.
48 services44 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.
41 services41 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.
30 services29 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
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.

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170086
Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66606 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

30.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality22.85
Promoting Interoperability0
Improvement Activities40
Cost30

Other Providers at the Same Location NPPES 16

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

Audiologist
920 SW LANE ST, SUITE 200
TOPEKA, KS 66606
Audiologist
920 SW LANE ST, STE 200
TOPEKA, KS 66606
Otolaryngology
920 SW LANE ST, SUITE 200
TOPEKA, KS 66606
Audiologist
920 SW LANE ST, #200
TOPEKA, KS 66606
Otolaryngology
920 SW LANE ST, SUITE 200
TOPEKA, KS 66606
Speech-Language Pathologist
920 SW LANE ST, SUITE 200
TOPEKA, KS 66606
Otolaryngology
920 SW LANE ST, SUITE 200
TOPEKA, KS 66606
Otolaryngology
920 SW LANE ST, SUITE #200
TOPEKA, KS 66606

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 Mel Setter's NPI number?

The NPI number for Mel Setter is 1922022581. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Mel Setter located?

Mel Setter practices at 920 SW Lane St Suite # 200, Topeka, KS 66606. The listed phone number is (785) 233-0500.

What is Mel Setter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mel Setter enrolled in Medicare?

Yes. Mel 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.

What insurance does Mel Setter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Mel Setter 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 Mel Setter affiliated with any hospitals?

According to CMS data, Mel Setter is affiliated with University Of Kansas Health System - St Francis Campus and Stormont Vail Hospital.

When was this NPI record last updated?

The NPPES record for Mel Setter was last updated on July 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.