What is Timothy Setzer's specialty?

Timothy Setzer (NPI 1609189372) is a Medicare-billing provider whose primary specialty is Nurse Practitioner in Charlotte, NC.

Where does Timothy Setzer practice?

Timothy Setzer practices in Charlotte, NC, based on the location reported in the CMS Medicare provider datasets for NPI 1609189372.

How much does Medicare pay Timothy Setzer?

Timothy Setzer (NPI 1609189372) received approximately $17K in total Medicare Part B payments, serving 89 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1609189372

Timothy SetzerFNP

Nurse PractitionerCharlotte, NCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

103

Distinct HCPCS

Medicare payment

$14K

Peer benchmark

Total Medicare services vs. 7,225 Nurse Practitioner providers in NC — below median (cohort median 268).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

94.0

Quality

81.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.80%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Timothy Setzer's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CAROLINAS MEDICAL CENTER	57	138
Dominique Falewee Cardiology · Charlotte, NC	32	167
Frank Valeri Cardiology · Charlotte, NC	31	143
Mecklenburg Emergency Medical Services Agency Ambulance Service Provider · Charlotte, NC	29	94
Robert Updaw Pulmonary Disease · Charlotte, NC	28	119
CAROLINAS MEDICAL CENTER	24	55
VERVILLE, THOMAS	14	72
Bradford Mitchell Diagnostic Radiology · Charlotte, NC	12	23
Michael Lavelle Diagnostic Radiology · Charlotte, NC	12	45
Aamer Qureshi Cardiology · Charlotte, NC	12	30

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history