Dr. Shaan Setia , MD
Urology โข Oak Brook, IL
2011 York Rd Ste 2000a
Oak Brook, IL 605232156
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 March 22, 2016; this date does not establish years in practice.
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Published CMS data list 812 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 81003 โ Automated urinalysis test: 133 service units.
- 51798 โ Ultrasound measurement of bladder capacity after voiding: 127 service units.
- 99213 โ Established patient outpatient office visit: 105 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 16 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 285 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl โ 73 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 51 prescription fills, including refills.
- Myrbetriq (Mirabegron) โ 37 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: 1,869. Middle half: 703 to 4,858.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 28 in 2022 to 812 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
2011 York Rd Ste 2000a
Oak Brook, IL 605232156
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Chicago, IL; Nashville, TN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Rush University Medical Group. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Virginia School Of Medicine
2016
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
235 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 โ by Provider, 2024.
Medicare-allowed amount
About $63,191 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 โ by Provider and Service, 2024.
Paid by Medicare
About $49,002 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 โ by Provider and Service, 2024.
30-day fills
485 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
$32,006 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $722.27 across 20 records.
By nature of payment
- Food and Beverage: $722.27 across 20 records.
Reporting-company totals (3 largest of 4)
- Olympus America Inc.: $251.19 across 4 records.
- Boston Scientific Corporation: $243.11 across 13 records.
- Valencia Technologies Corporation: $178.48 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 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
2016
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Setia 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. Setia 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 Oak Brook and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: 1,869. Middle half: 703 to 4,858.
Too few clinicians listed under Urology in Oak Brook have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: $150,002. Middle half: $69,734 to $268,150.
Too few clinicians listed under Urology in Oak Brook have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: $113,671. Middle half: $51,216 to $199,881.
Too few clinicians listed under Urology in Oak Brook have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 70% of clinicians listed under Urology in Illinois (2024, 381 clinicians with data). Median for this group: 813. Middle half: 123 to 1,932.
Too few clinicians listed under Urology in Oak Brook have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Urology in Illinois (2024, 381 clinicians with data). Median for this group: $79,867. Middle half: $8,053 to $301,934.
Too few clinicians listed under Urology in Oak Brook have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Urology with a practice address in Oak Brook, IL (629 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 increased 2800% from 28 in 2022 to 812 in 2024.
- 2022: 28
- 2023: 117
- 2024: 812
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Medicare-allowed amount
Medicare-allowed amount increased 2530% from $2,403 in 2022 to $63,191 in 2024.
- 2022: $2,403
- 2023: $5,764
- 2024: $63,191
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Paid by Medicare
Paid by Medicare increased 2674% from $1,766 in 2022 to $49,002 in 2024.
- 2022: $1,766
- 2023: $4,631
- 2024: $49,002
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 14 in 2018 to 285 in 2024.
- 2018: 14
- 2019: 13
- 2022: 91
- 2023: 52
- 2024: 285
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30-day fills
30-day fills went from 14 in 2018 to 485 in 2024.
- 2018: 14
- 2019: 13
- 2022: 99
- 2023: 68
- 2024: 485
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Part D drug cost
Part D drug cost went from $90 in 2018 to $32,006 in 2024.
- 2018: $90
- 2019: $77
- 2022: $585
- 2023: $490
- 2024: $32,006
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $160.56 in 2020 to $722.27 in 2025.
- 2020: $160.56
- 2022: $148.01
- 2023: $240.74
- 2024: $308.71
- 2025: $722.27
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 20 records totaling $722.27.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Olympus America Inc. |
Food and Beverage
In-kind items and services
|
iTIND System | General | $165.53 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Therapies | General | $123.31 |
| Valencia Technologies Corporation |
Food and Beverage
Cash or cash equivalent
|
eCoin Device Kit | General | $89.24 |
| Valencia Technologies Corporation |
Food and Beverage
Cash or cash equivalent
|
eCoin Device Kit | General | $89.24 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
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PROVENGE | General | $49.49 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
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iTIND System | General | $35.03 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
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SOLTIVE | General | $25.90 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
|
iTIND System | General | $24.73 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Kidney Stone Disease | General | $13.55 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $12.73 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $12.07 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $11.85 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $11.02 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Kidney Stone Disease | General | $10.46 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $10.06 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $9.00 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $8.82 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Kidney Stone Disease | General | $8.46 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Lumenis Pulse 120H | General | $8.12 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $3.66 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 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 โ by Provider and Service data, 2022โ2024; 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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81003
Automated urinalysis test
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133 | 103 | $25.00 | $2.20 |
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51798
Ultrasound measurement of bladder capacity after voiding
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127 | 89 | $60.00 | $12.38 |
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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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105 | 80 | $141.00 | $98.04 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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76 | 60 | $221.00 | $137.79 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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68 | 59 | $51.00 | $17.29 |
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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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59 | 59 | $367.00 | $178.05 |
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51741
Electronic assessment of bladder emptying
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38 | 35 | $51.84 | $13.30 |
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99443
Telephone medical discussion with physician, 21-30 minutes
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36 | 29 | $210.00 | $137.81 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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33 | 32 | $668.00 | $258.23 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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29 | 24 | $147.00 | $97.16 |
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74420
Imaging of urinary tract following injection of a contrast agent
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23 | 18 | $82.00 | $25.60 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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21 | 20 | $336.00 | $142.02 |
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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
|
20 | 20 | $261.00 | $120.80 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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17 | 16 | $320.00 | $193.79 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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16 | 15 | $252.00 | $91.64 |
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52332
Insertion of stent in ureter using an endoscope
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11 | 11 | $1633.00 | $120.50 |
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 |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 73 | 5,040 | $880.71 | 36 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 51 | 298 | $261.11 | 42 |
| Myrbetriq | Mirabegron | 37 | 1,890 | $28,547.47 | 13 |
| Solifenacin Succinate | Solifenacin Succinate | 36 | 1,980 | $1,374.86 | 19 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 28 | 138 | $236.57 | 25 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 24 | 1,269 | $484.19 | โ |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 19 | 87 | $39.41 | 17 |
| Finasteride | Finasteride | 17 | 1,350 | $181.51 | โ |
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
Self-certified to NPPES: 2024-10-08NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20230911002771
IL
6305138033
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Rush University Medical Group
2011 York Rd, Oak Brook, IL 605232156
Phone: 6307241300
Secondary Practice Locations
1750 W Harrison St, Suite 785
Chicago, IL 606123825
Phone: 3129426510
3601 The Vanderbilt Clinic
Nashville, TN 372323825
Phone: 6153223000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2011 YORK RD STE 2000A, OAK BROOK, IL 605232156 (Tel: 6307241300)
Recorded as SHAAN SETIA, MD
Urology (license number reported to NPPES: TN PENDING)
Registered at 3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 372152691 (Tel: 6159362000)
Student in an Organized Health Care Education/Training Program
Urology (license number reported to NPPES: TN PENDING)
Registered at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN 372323825 (Tel: 6153223000)
Registered at 719 THOMPSON LN STE 30330, NASHVILLE, TN 372044701
NPI status registered as active in NPPES database
Registered at 1750 W HARRISON ST, SUITE 785, CHICAGO, IL 606123825 (Tel: 3129426510)
Registered at 1750 W HARRISON ST, SUITE 785, CHICAGO, IL 606123825
Recorded as SHAAN SETIA
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
3841 Green Hills Village Dr Ste 200
Nashville, TN 372152691
Phone: 6159362000