Medicare Enrolled

Dr. Michael Setzen, M.D.

Optician · Great Neck, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
600 NORTHERN BLVD, Great Neck, NY 11021
5168290045
Registered in NPPES since 2006
NPI: 1356381628 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. Setzen 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. Setzen

Dr. Michael Setzen is an optician specialist in Great Neck, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Setzen performed 3,780 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Setzen received a total of $31,869 from 19 pharmaceutical and/or device companies across 134 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. Setzen 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.

✓ 20 years of NPI registration ▲ Top 20% volume in NY $31,869 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,780
Medicare services
Top 20% in NY for optician
Not available
Unique patients (not deduplicated)
$109
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
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.
912 $82 $215
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
877 $176 $551
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
617 $29 $194
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.
212 $118 $236
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
172 $124 $551
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.
165 $154 $341
Comprehensive hearing and speech recognition test
A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech.
146 $33 $131
Impacted earwax removal by physician
Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing.
98 $29 $194
CT scan of face, without contrast
A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye.
80 $126 $866
Eardrum and muscle function test
A diagnostic test used to evaluate the function of the eardrum and associated muscles.
71 $20 $126
Test to assess defects in adaptation to sounds
A diagnostic test used to evaluate how well the auditory system adapts to sounds. It assesses specific defects in sound adaptation processes.
71 $32 $58
Vocal cord movement assessment with endoscope
This procedure uses an endoscope to examine the movement of the vocal cords. It allows for the visual assessment of how the vocal cord flaps function.
69 $192 $1,129
Voice and resonance analysis
Evaluation of how voice and resonance are produced. This procedure assesses the mechanics of sound generation without specifying a clinical purpose.
66 $99 $373
Middle ear function test
A diagnostic test used to evaluate how well the middle ear is functioning.
50 $15 $68
Swallowing evaluation using endoscope
This procedure involves evaluating, recording, and interpreting the swallowing process by using an endoscope to visualize the throat and esophagus.
37 $33 $194
Swallowing function evaluation
An assessment to evaluate how well a patient can swallow. This procedure examines the mechanics and safety of the swallowing process.
36 $75 $262
Swallowing evaluation using an endoscope
This procedure involves using an endoscope to visually evaluate and record the swallowing process.
34 $183 $919
Nasal growth removal or destruction
This procedure involves the removal or destruction of a growth located in the nose using an approach through the nostrils.
23 $548 $2,772
Comprehensive hearing test
A complete evaluation of hearing ability to assess how well a person can hear sounds across different frequencies and volumes.
21 $29 $178
Destruction of nasal passage soft tissue
A procedure to destroy abnormal or excess soft tissue within the nasal passages.
12 $107 $1,410
Nasal valve repair
A surgical procedure to correct a collapsed nasal valve, which is the narrowest part of the nasal airway. The surgery aims to widen the nasal passage to improve breathing.
11 $2,432 $3,500
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.
0.3% high complexity
25.3% medium
74.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$31,869
Total received (2018-2024)
Avg $4,553/year across 7 years
Top 7% in NY for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
134
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
$6,484
2023
$3,706
2022
$17,651
2021
$395
2020
$1,177
2019
$414
2018
$2,041

Payments by company (2024)

Regeneron Pharmaceuticals, Inc.
$5,142
Stryker Corporation
$500
Regeneron Healthcare Solutions, Inc.
$191
Genentech USA, Inc.
$150
AERIN MEDICAL INC.
$147
GENZYME CORPORATION
$126
Optinose US, Inc.
$93
Neurent Medical Limited
$84
GlaxoSmithKline, LLC.
$28
Medtronic, Inc.
$23
Top 3 companies account for 90.0% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$20,800
Regeneron Pharmaceuticals, Inc.
$5,142
Medtronic USA, Inc.
$950
Neurent Medical Limited
$792
AERIN MEDICAL INC.
$776
Aerin Medical Inc.
$661
Intersect ENT, Inc.
$490
OptiNose US, Inc.
$454
GENZYME CORPORATION
$426
Regeneron Healthcare Solutions, Inc.
$279
Medtronic, Inc.
$274
Optinose US, Inc.
$238
Genentech USA, Inc.
$150
Inspire Medical Systems, Inc.
$150
SANOFI-AVENTIS U.S. LLC
$99
Acclarent, Inc
$72
Merck Sharp & Dohme LLC
$45
Mylan Specialty L.P.
$44
GlaxoSmithKline, LLC.
$28
Top 3 companies account for 84.4% of all-time payments
Associated products mentioned in payments ›
ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM · ACCLARENT NAVWIRE SINUS NAVIGATION GUIDEWIRE · AUDION ET DILATION SYSTEM · CLARIFIX · CLARIFIX CRYOTHERAPY DEVICE · DUPIXENT · Dymista · ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM · ENTELLUS - OFFICE SINUS PROCEDURE PACK · ENTELLUS - XPRESS ENT DILATION SYSTEM · INSPIRE · LATERA · NEUROMARK Device · NUCALA · NUVENT · Navigation CUBE · PROPEL · Relieva Tract · SCOPIS ENT · STRAIGHTSHOT · TruDi Navigation System · VIVAER STYLUS · VivAer · XPRESS ENT DILATION SYSTEM · XPRESS LOPROFILE · Xhance · Xolair
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 optician specialist in Great Neck?
Compare opticians in the Great Neck area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Opticians in nearby ZIP areas
16,471
County median income
$143,408
Nearest hospital to ZIP centroid (approximate)
NORTH SHORE UNIVERSITY 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. Setzen is a clinical cardiology specialist, with above-average Medicare volume (top 20% in NY), with 20 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. Setzen experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Setzen performed 912 office visit, established patient (20-29 min) 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. Setzen receive payments from pharmaceutical companies?
Yes. Dr. Setzen received a total of $31,869 from 19 companies across 134 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. Setzen's costs compare to other opticians in Great Neck?
Dr. Setzen's average Medicare payment per service is $109. 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. Setzen) 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.

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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 →