Dr Kevin J Setter, MD - Medicare Orthopedic Surgery in East Syracuse, NY

Dr Kevin J Setter, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in East Syracuse, New York. He went to State University Of Ny Upstate Medical University and graduated in 1998 and has 26 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Upstate Orthopedics, Llp and his current practice location is 6620 Fly Road, Ste 200, East Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-4472.

Dr Kevin J Setter is licensed to practice in New York (license number 227984) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740285584.

Contact Information

Dr Kevin J Setter, MD
6620 Fly Road, Ste 200,
East Syracuse, NY 13057
(315) 464-4472
Not Available

Map and Direction




Physician's Profile

Full NameDr Kevin J Setter
GenderMale
SpecialityOrthopedic Surgery
Experience26 Years
Location6620 Fly Road, East Syracuse, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin J Setter attended and graduated from State University Of Ny Upstate Medical University in 1998
  NPI Data:
  • NPI Number: 1740285584
  • Provider Enumeration Date: 06/17/2005
  • Last Update Date: 11/30/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1153365788
  • Enrollment ID: I20050615000144

Medical Identifiers

Medical identifiers for Dr Kevin J Setter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740285584NPI-NPPES
02644026MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 227984 (New York)Secondary
207XS0106XOrthopaedic Surgery - Hand Surgery 227984 (New York)Primary
207XX0005XOrthopaedic Surgery - Sports Medicine 227984 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Hospital S U N Y Health Science CenterSyracuse, NYHospital
Crouse HospitalSyracuse, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upstate Orthopedics, Llp145634451432

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kevin J Setter allows following entities to bill medicare on his behalf.
Entity NameAuburn Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093712911
PECOS PAC ID: 2365346525
Enrollment ID: O20031120000617
Entity NameUpstate Orthopedics, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740228311
PECOS PAC ID: 1456344514
Enrollment ID: O20040405001452

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin J Setter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kevin J Setter, MD
6620 Fly Road, Ste 200,
East Syracuse, NY 13057

Ph: (315) 464-4472
Dr Kevin J Setter, MD
6620 Fly Road, Ste 200,
East Syracuse, NY 13057

Ph: (315) 464-4472

Reviews and Comments


Orthopaedic Surgery Doctors in East Syracuse, NY

Dr. Maria Iannolo, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6620 Fly Rd, East Syracuse, NY 13057
Phone: 315-464-4472    Fax: 315-464-5222
Scott M Vanvalkenburg, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6620 Fly Rd, Ste 200, East Syracuse, NY 13057
Phone: 315-464-4472    Fax: 315-464-5229
Dr. William F Lavelle, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6620 Fly Road, Suite 200, East Syracuse, NY 13057
Phone: 315-464-4472    Fax: 315-464-5222
Dr. Brian J Harley, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6620 Fly Road, Ste 200, East Syracuse, NY 13027
Phone: 315-464-4472    Fax: 315-464-5222
David Cinats,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6620 Fly Rd Ste 100, East Syracuse, NY 13057
Phone: 315-464-4472    
Dr. Kathryn E Palomino, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6620 Fly Road, Ste 200, East Syracuse, NY 13057
Phone: 315-464-4472    
Robert A Sherman, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6620 Fly Rd, Upstate Orthopedics, East Syracuse, NY 13057
Phone: 315-464-4472    Fax: 315-464-5221

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.