Individual provider Active NPI

Joseph R Setter, D.P.M.

  • Podiatrist
  • Bloomington, IL
National Provider Identifier
1215048202
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003724 Issued in IL
Practice address
2708 McGraw Dr
Bloomington, IL 61704-6012
Phone
(309) 663-2306
Fax
(309) 662-1213
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003724 IL Primary

Addresses

Primary practice location

2708 McGraw Dr
Bloomington, IL 61704-6012

Mailing address

2708 McGraw Dr
Bloomington, IL 61704-6012
Phone (309) 663-2306

Other identifiers 1

IdentifierTypeStateIssuer
016003724MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000870 IL Practitioner - Podiatry 7315078052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2708 McGraw Dr
Bloomington, IL 61704-6041
Phone (309) 663-2306

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as individual
Quality
77.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1229
Removal or shaving of skin growth432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Podiatry Associates LTD Podiatrist CurrentSince Jan 1, 1966 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2708 McGraw Dr
Bloomington, IL 61704
Phone (309) 663-2306

706 S Sangamon Ave
Gibson City, IL 60936

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1215048202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 MCGRAW DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046012",
            "telephone_number": "309-663-2306",
            "fax_number": "309-662-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 MCGRAW DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046012",
            "telephone_number": "309-663-2306",
            "fax_number": "309-662-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETTER",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003724",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.