Dr. Joseph R Setter , DPM
Podiatrist • Bloomington, IL
2708 Mcgraw Dr
Bloomington, IL 617046012
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 31, 2006; this date does not establish years in practice.
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Published CMS data list 2,008 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 11721 — Removal of fingernails or toenails, 6 or more nails: 1,320 service units.
- 99213 — Established patient outpatient office visit: 208 service units.
- 11056 — Removal of noncancer thickened skin growth, 2-4 growths: 174 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 58 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin — 25 prescription fills, including refills.
- Ketoconazole — 20 prescription fills, including refills.
- Ammonium Lactate — 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Podiatrist in Illinois (2024, 349 clinicians with data). Median for this group: 1,584. Middle half: 818 to 2,771.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,095 in 2020 to 2,008 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2708 Mcgraw Dr
Bloomington, IL 617046012
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
William M. Scholl College Of Podiatric Medicine
1984
What Public CMS Data Show
Podiatrist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
412 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $108,880 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $78,848 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
66 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,312 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
42 years (graduated 1984)
CMS Doctors and Clinicians data list 1984 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Setter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Setter as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Bloomington and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Podiatrist in Illinois (2024, 349 clinicians with data). Median for this group: 1,584. Middle half: 818 to 2,771.
Too few clinicians listed under Podiatrist in Bloomington have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Podiatrist in Illinois (2024, 349 clinicians with data). Median for this group: $101,172. Middle half: $56,171 to $154,901.
Too few clinicians listed under Podiatrist in Bloomington have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Podiatrist in Illinois (2024, 349 clinicians with data). Median for this group: $73,263. Middle half: $39,191 to $112,879.
Too few clinicians listed under Podiatrist in Bloomington have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Podiatrist in Illinois (2024, 256 clinicians with data). Median for this group: 97. Middle half: 35 to 241.
Too few clinicians listed under Podiatrist in Bloomington have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Podiatrist in Illinois (2024, 256 clinicians with data). Median for this group: $1,225. Middle half: $420 to $3,677.
Too few clinicians listed under Podiatrist in Bloomington have Medicare Part D data for 2024 to compare.
5 active clinicians are listed under Podiatrist with a practice address in Bloomington, IL (601 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 2,095 in 2020 and 2,008 in 2024.
- 2020: 2,095
- 2021: 2,057
- 2022: 2,065
- 2023: 2,093
- 2024: 2,008
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $113,382 in 2020 and $108,880 in 2024.
- 2020: $113,382
- 2021: $118,782
- 2022: $115,861
- 2023: $114,734
- 2024: $108,880
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Paid by Medicare
Paid by Medicare stayed about the same: $78,570 in 2020 and $78,848 in 2024.
- 2020: $78,570
- 2021: $84,146
- 2022: $78,903
- 2023: $78,699
- 2024: $78,848
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 53% from 38 in 2020 to 58 in 2024.
- 2020: 38
- 2021: 62
- 2022: 53
- 2023: 43
- 2024: 58
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30-day fills
30-day fills increased 40% from 47 in 2020 to 66 in 2024.
- 2020: 47
- 2021: 71
- 2022: 66
- 2023: 68
- 2024: 66
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Part D drug cost
Part D drug cost increased 22% from $1,075 in 2020 to $1,312 in 2024.
- 2020: $1,075
- 2021: $1,468
- 2022: $1,079
- 2023: $701
- 2024: $1,312
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
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11721
Removal of fingernails or toenails, 6 or more nails
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1,320 | 341 | $43.09 | $42.15 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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208 | 112 | $87.27 | $85.05 |
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11056
Removal of noncancer thickened skin growth, 2-4 growths
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174 | 80 | $79.90 | $76.07 |
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11055
Removal of noncancer thickened skin growth, 1 growth
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173 | 101 | $69.67 | $65.28 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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47 | 47 | $110.23 | $106.96 |
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99342
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes
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32 | 32 | $77.01 | $75.32 |
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99347
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes
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27 | 24 | $53.38 | $43.63 |
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73630
X-ray of foot, minimum of 3 views
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15 | 14 | $33.10 | $31.55 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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12 | 12 | $165.13 | $161.13 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 25 | 205 | $514.20 | 20 |
| Ketoconazole | Ketoconazole | 20 | 700 | $428.32 | 15 |
| Ammonium Lactate | Ammonium Lactate | 13 | 380 | $369.97 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 213E00000X
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PODIATRY
I20100624000870
IL
7315078052
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Podiatrist
Doctor of Podiatric Medicine
Career & Practice History
NPI enumerated August 31, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Podiatrists in Bloomington
Healthcare providers in BloomingtonMailing Address
2708 Mcgraw Dr
Bloomington, IL 617046012
Phone: 3096632306