Medicare Enrolled

Dr. Vikram Setlur, MD

Ophthalmology · Wheaton, IL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
2015 N MAIN ST, Wheaton, IL 60187
6306688250
Registered in NPPES since 2008
NPI: 1750547733 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Setlur from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Setlur

Dr. Vikram Setlur is an ophthalmology specialist in Wheaton, IL, with 18 years of NPI registration. Based on federal Medicare data, Dr. Setlur performed 15,124 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Setlur received a total of $816 from 14 pharmaceutical and/or device companies across 36 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Setlur is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years of NPI registration ▲ Top 7% volume in IL $816 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
15,124
Medicare services
Top 7% in IL for ophthalmology
Not available
Unique patients (not deduplicated)
$189
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
4,188 $31 $62
Aflibercept eye injection (Eylea) 2,872 $692 $927
Eye injection for retinal disease
A procedure involving the administration of medication directly into the eye.
2,352 $89 $147
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
2,224 $92 $148
Bevacizumab injection, 10 mg
Administration of a 10 mg dose of bevacizumab medication via injection.
939 $55 $106
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
875 $98 $143
Extended eye exam with retinal drawing
A detailed examination of the back of the eye that includes creating a drawing of the retina.
737 $19 $29
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
329 $46 $103
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
223 $115 $181
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
91 $29 $46
Ultrasound of eye tissue and structures
A diagnostic imaging test that uses sound waves to create pictures of the eye's internal tissues and structures.
46 $39 $54
Retinal membrane and internal limiting membrane removal
A surgical procedure to remove a membrane from the retina along with the internal limiting membrane of the retina.
43 $912 $1,418
Vitreous removal between lens and retina
This procedure involves the removal of the vitreous fluid located between the lens and the retina of the eye.
34 $703 $950
Retinal laser treatment for leaking blood vessels
This procedure uses a laser to seal leaking blood vessels in the retina. It is performed to prevent vision loss caused by fluid leakage from damaged retinal vessels.
31 $233 $485
Retinal detachment repair with fluid drainage
A surgical procedure to reattach a detached retina by draining excess fluid from the space between the lens and the retina.
30 $923 $1,259
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
30 $73 $105
Retinal photocoagulation to prevent detachment
This procedure uses laser light to create small burns on the retina. It is performed to help prevent the retina from detaching from the back of the eye.
16 $157 $707
Removal of implant material from inside of eye
This procedure involves the surgical removal of implant material located within the interior of the eye.
15 $616 $957
Retinal laser destruction of growth
A laser procedure used to destroy abnormal growths in the retina.
14 $409 $550
Laser destruction of vitreous and retina
A laser procedure used to destroy fluid in the vitreous and tissue across the entire retina.
12 $847 $1,097
Retinal angiography with dye injection
This procedure uses a special camera to examine the blood vessels in the retina after a dye has been injected into the body.
12 $92 $145
Extended exam of back of eye with optic nerve drawing
A detailed examination of the posterior section of the eye, including the optic nerve, with documentation through drawing.
11 $10 $17
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$816
Total received (2018-2024)
Avg $117/year across 7 years
Bottom 40% in IL for ophthalmology
14
Companies
36
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$261
2023
$160
2022
$99
2021
$78
2020
$25
2019
$109
2018
$83

Payments by company (2024)

Regeneron Healthcare Solutions, Inc.
$112
Alcon Vision LLC
$48
SUN PHARMACEUTICAL INDUSTRIES INC.
$31
Tarsus Pharmaceuticals, Inc.
$30
Oyster Point Pharma, Inc.
$22
Bausch & Lomb Americas Inc.
$19
Top 3 companies account for 72.9% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$199
Alcon Vision LLC
$119
Regeneron Healthcare Solutions, Inc.
$112
Sun Pharmaceutical Industries Inc.
$98
Shire North American Group Inc
$64
Bausch & Lomb Americas Inc.
$37
SUN PHARMACEUTICAL INDUSTRIES INC.
$31
Tarsus Pharmaceuticals, Inc.
$30
Apellis Pharmaceuticals, Inc.
$29
Allergan Inc.
$27
Alimera Sciences, Inc.
$23
Oyster Point Pharma, Inc.
$22
Eyevance Pharmaceuticals LLC
$13
NEW WORLD MEDICAL,INC.
$12
Top 3 companies account for 52.7% of all-time payments
Associated products mentioned in payments ›
Ahmed Glaucoma Valve · BEOVU · Cequa · EYLEA · EYLEA HD · Flarex · ILUVIEN · LOTEMAX SM · OZURDEX · Rocklatan · Simbrinza · Syfovre · TRAVATAN Z · TYRVAYA · VYZULTA · XDEMVY · XIIDRA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an ophthalmology specialist in Wheaton?
Compare ophthalmologists in the Wheaton area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists in nearby ZIP areas
524
County median income
$110,502
Nearest hospital to ZIP centroid (approximate)
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL
2.3 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Setlur is a mixed practice specialist, with above-average Medicare volume (top 7% in IL), with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Setlur experienced with retinal imaging (oct scan)?
Based on Medicare claims data, Dr. Setlur performed 4,188 retinal imaging (oct scan) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Setlur receive payments from pharmaceutical companies?
Yes. Dr. Setlur received a total of $816 from 14 companies across 36 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Setlur's costs compare to other ophthalmologists in Wheaton?
Dr. Setlur's average Medicare payment per service is $189. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Setlur) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →