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PROVIDER PROFILE · NPI 1609189372

Timothy SetzerFNP

Nurse PractitionerCharlotte, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 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
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
68
Unique beneficiaries
—
Total services
103
Distinct HCPCS
1
Medicare payment
$14K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 7,225 Nurse Practitioner providers in NC — below median (cohort median 268).
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
PhysicianPatientsVisits
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32167
Frank Valeri
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31143
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Ambulance Service Provider · Charlotte, NC
2994
Robert Updaw
Pulmonary Disease · Charlotte, NC
28119
CAROLINAS MEDICAL CENTER2455
VERVILLE, THOMAS1472
Bradford Mitchell
Diagnostic Radiology · Charlotte, NC
1223
Michael Lavelle
Diagnostic Radiology · Charlotte, NC
1245
Aamer Qureshi
Cardiology · Charlotte, NC
1230
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.