Doctor profile · Federal record
Dr. Roy Settergren, M.D.
Hospitalist Physician (CMS: Internal Medicine) · Hospitalist Physician · Hinsdale, IL
- NPI 1194055863
- Accepts Medicare
- MIPS 65.3 / 100 · 2023
- 17 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
120 N Oak St
Hinsdale, IL 605213829
(630) 856-9000
Credentials & registration
- NPI registered
- January 2010 — 16 yrs on file
- Profile last updated
- October 13, 2025
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State licenses (2)
- Illinois #036153573 · Wisconsin #75081-20
- Medicaid
- WI #100165664
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194055863. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,189
Distinct HCPCS
5
Medicare allowed
$141,199
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 476 | 163 | $124 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 428 | 87 | $83 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 153 | 148 | $180 | |
99239 |
Hospital discharge day management, more than 30 minutes | 99 | 91 | $119 | |
99291 |
Critical care, first 30-74 minutes | 33 | 22 | $225 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 144. This provider delivers 8.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
123
Patients
92
Total drug cost
$1,381
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 26 | 20 | $267 |
| Cefdinir | Generic | 24 | 24 | $364 |
| Prednisone | Generic | 23 | 22 | $218 |
| Pantoprazole Sodium | Generic | 14 | 14 | $96 |
| Mirtazapine | Generic | 13 | 0 | $195 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 12 | 12 | $147 |
| Azithromycin | Generic | 11 | 0 | $94 |
Hospital affiliations
Frequently asked questions
What is Dr. Roy Settergren's medical specialty?
Dr. Roy Settergren practices Hospitalist Physician in Hinsdale, IL.
Where does Dr. Roy Settergren practice?
Dr. Roy Settergren practices at 120 N Oak St, Hinsdale, IL 605213829. Office phone: 6308569000.
What is Dr. Roy Settergren's NPI?
Dr. Roy Settergren's National Provider Identifier (NPI) is 1194055863, issued by NPPES.
Does Dr. Roy Settergren accept Medicare assignment?
Yes. Dr. Roy Settergren accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Roy Settergren commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.