Doctor profile · Federal record
Dr. Gavin Setzen, MD
Otolaryngology Physician (CMS: Otolaryngology) · Facial Plastic Surgery Physician · Albany, NY
- NPI 1063419232
- Accepts Medicare
- MIPS 80.8 / 100 · 2023
- 39 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
123 Everett RD
Albany, NY 122051407
(518) 701-2000
fax (518) 701-2020
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- October 3, 2019
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207Y00000X — NUCC code
- State licenses (2)
- New York #191506 · New York #1915061
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063419232. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
8,560
Distinct HCPCS
10
Medicare allowed
$210,753
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
95165 |
Professional service for preparation and provision of 1 or more antigens | 3,293 | 82 | $14 | |
95117 |
Professional service for multiple injections of allergen | 1,342 | 75 | $11 | |
95004 |
Test for allergy using allergenic extract | 1,163 | 25 | $4 | |
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,080 | 13 | $0 | |
95024 |
Test for allergy using allergenic extract injected into skin | 606 | 25 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 543 | 429 | $124 | |
31575 |
Diagnostic exam of voice box using a flexible endoscope | 216 | 173 | $126 | |
31231 |
Diagnostic exam of nasal passages using an endoscope | 128 | 109 | $183 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 84 | 84 | $161 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 41 | 40 | $88 |
In context: peer comparison
Among 4 peers in Albany Otolaryngology Physician, average services per provider: 350. This provider delivers 24× the peer median.Open Payments
Industry payments received
All-time total
$66,502
Transactions
44
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 17 | $31,762.05 | |
| Aerin Medical INC. | 2 | $13,860.00 | |
| Smith+Nephew, INC. | 12 | $12,604.38 | |
| Neurent Medical Limited | 5 | $8,109.38 | |
| Regeneron Healthcare Solutions, INC. | 2 | $34.07 | |
| Harmony Biosciences LLC | 1 | $32.71 | |
| Avadel CNS Pharmaceuticals, LLC | 2 | $27.91 | |
| Optinose US, INC. | 1 | $24.75 | |
| GlaxoSmithKline, LLC. | 1 | $24.40 | |
| Csl Behring | 1 | $22.62 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,236
Patients
879
Total drug cost
$79,185
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 508 | 164 | $8,739 |
| Omeprazole | Generic | 402 | 126 | $5,696 |
| Fluticasone Propionate | Generic | 348 | 169 | $7,714 |
| Montelukast Sodium | Generic | 232 | 70 | $3,052 |
| Ipratropium Bromide | Generic | 165 | 79 | $6,570 |
| Budesonide | Generic | 130 | 61 | $27,236 |
| Azelastine Hcl | Generic | 112 | 53 | $3,907 |
| Pantoprazole Sodium | Generic | 75 | 29 | $1,194 |
| Mupirocin | Generic | 55 | 41 | $593 |
| Levocetirizine Dihydrochloride | Generic | 49 | 15 | $1,025 |
Frequently asked questions
What is Dr. Gavin Setzen's medical specialty?
Dr. Gavin Setzen practices Otolaryngology Physician in Albany, NY.
Where does Dr. Gavin Setzen practice?
Dr. Gavin Setzen practices at 123 Everett RD, Albany, NY 122051407. Office phone: 5187012000.
What is Dr. Gavin Setzen's NPI?
Dr. Gavin Setzen's National Provider Identifier (NPI) is 1063419232, issued by NPPES.
Does Dr. Gavin Setzen accept Medicare assignment?
Yes. Dr. Gavin Setzen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gavin Setzen commonly perform?
Top Medicare-reported procedures in 2023: Professional service for preparation and provision of 1 or more antigens (HCPCS 95165); Professional service for multiple injections of allergen (HCPCS 95117); Test for allergy using allergenic extract (HCPCS 95004). Source: CMS Medicare Physician & Other Practitioners file.