Individual provider Active NPI

Shannon Setzer, M.D.

  • Dermatology Physician
  • Bozeman, MT
National Provider Identifier
1639355928
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11661 Issued in MT
Practice address
4515 Valley Commons Dr Ste 202
Bozeman, MT 59718-4532
Phone
(406) 587-7546
Fax
(406) 585-5672
NPI assigned
Jan 16, 2008
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 11661 MT Primary

Addresses

Primary practice location

4515 Valley Commons Dr Ste 202
Bozeman, MT 59718-4532

Mailing address

4515 Valley Commons Dr Ste 202
Bozeman, MT 59718-4532
Phone (406) 587-7546

Other names 1

  • Shannon Setzer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090401000462 MT Practitioner - Dermatology 2163579459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Montana PLLCGroup PAC ID 9537593710, 15 clinicians
Shannon Setzer MD PCGroup PAC ID 5698822989, 3 clinicians

Practice addresses (Care Compare)

24 E Broadway St
Butte, MT 59701-9334
Phone (406) 723-7272

4515 Valley Commons Dr
Suite 202
Bozeman, MT 59718-4532
Phone (406) 587-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.03 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision93
Removal of skin lesions817
Removal of skin cancer227
Skin biopsy273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11661MTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Setzer M.D., P.C. Dermatology CurrentSince Apr 1, 2009 Accepting new patients
Epiphany Dermatology of Montana, PLLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients

Locations

1600 Ellis St
Ste 3B
Bozeman, MT 59715
Phone (406) 587-7546

4515 Valley Commons Dr
Ste 202
Bozeman, MT 59718
Phone (406) 587-7546

24 E Broadway St
Butte, MT 59701
Phone (406) 310-1376

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1639355928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 VALLEY COMMONS DR STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184532",
            "telephone_number": "406-587-7546",
            "fax_number": "406-585-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 VALLEY COMMONS DR STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184532",
            "telephone_number": "406-587-7546",
            "fax_number": "406-585-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETZER",
        "first_name": "SHANNON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "11661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SETZER",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.