Active NPI 1215048202 Individual Practitioner Male Practitioner

Dr. Joseph R Setter , DPM

Podiatrist • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Setter, DPM is a certified Podiatrist practicing in Bloomington, IL. With approximately 42 years of clinical experience since graduating from William M. Scholl College Of Podiatric Medicine in 1984, Dr. Setter delivers high-quality medical care to the local community at 2708 MCGRAW DR.

Dr. Setter accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, established patient outpatient office visit, removal of noncancer thickened skin growth, 2-4 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2708 Mcgraw Dr

Bloomington, IL 617046012

Telephone 3096632306

Fax 3096621213

Associated Practice Facility / Clinic

🏢 Midstate Podiatry Associates Ltd Facility NPI 1548216047

Medicare Profile & Education

Medical School

William M. Scholl College Of Podiatric Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Bloomington, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +11.3 yrs vs City Avg

City Avg: 30.7 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Bloomington, IL (647 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

4.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Setter (42 Years) 42 Yrs

Bloomington Specialty Average (30.7 Years) 30.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,320	341	$43.09	$42.15
99213 Established patient office or other outpatient visit, typically 15 minutes	208	112	$87.27	$85.05
11056 Removal of noncancer thickened skin growth, 2-4 growths	174	80	$79.90	$76.07
11055 Removal of single thickened skin growth	173	101	$69.67	$65.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$110.23	$106.96
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	32	32	$77.01	$75.32
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	27	24	$53.38	$43.63
73630 X-ray of foot, minimum of 3 views	15	14	$33.10	$31.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$165.13	$161.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,365	348	$43.05	$42.32
11055 Removal of single thickened skin growth	188	101	$69.60	$67.02
11056 Removal of noncancer thickened skin growth, 2-4 growths	184	83	$79.84	$77.00
99213 Established patient office or other outpatient visit, typically 15 minutes	168	87	$87.70	$85.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$110.30	$108.44
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	44	44	$76.40	$75.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$54.20	$53.02
11720 Removal of fingernails or toenails, 1-5 nails	22	11	$31.65	$31.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$165.13	$161.07
73630 X-ray of foot, minimum of 3 views	14	13	$31.45	$30.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,327	347	$43.10	$42.64
11055 Removal of single thickened skin growth	197	104	$68.71	$68.03
11056 Removal of noncancer thickened skin growth, 2-4 growths	179	88	$78.76	$77.99
99213 Established patient office or other outpatient visit, typically 15 minutes	169	87	$87.97	$86.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$110.19	$109.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$165.13	$163.05
11720 Removal of fingernails or toenails, 1-5 nails	25	11	$31.65	$31.26
99325 New patient assisted living visit, typically 30 minutes	22	22	$80.94	$76.83
73630 X-ray of foot, minimum of 3 views	21	18	$29.60	$29.23
99335 Established patient assisted living visit, typically 25 minutes	20	20	$92.98	$91.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$54.39	$53.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$125.07	$123.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,323	343	$43.42	$43.40
11055 Removal of single thickened skin growth	174	95	$66.58	$66.58
11056 Removal of noncancer thickened skin growth, 2-4 growths	173	77	$76.99	$76.70
99213 Established patient office or other outpatient visit, typically 15 minutes	160	90	$89.02	$88.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$166.12	$165.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	28	$50.65	$50.65
97597 Removal of tissue from wound, 20.0 sq cm or less	36	14	$96.39	$96.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$97.52	$97.52
99325 New patient assisted living visit, typically 30 minutes	25	25	$81.49	$77.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$110.07	$110.07
73630 X-ray of foot, minimum of 3 views	19	17	$31.27	$31.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,244	399	$44.79	$44.66
11056 Removal of noncancer thickened skin growth, 2-4 growths	262	123	$71.39	$71.21
11055 Removal of single thickened skin growth	177	118	$60.21	$59.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	71	$44.27	$44.18
99213 Established patient office or other outpatient visit, typically 15 minutes	79	73	$73.82	$73.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$106.62	$105.50
11057 Removal of noncancer thickened skin growth, more than 4 growths	35	20	$78.84	$78.64
97597 Removal of tissue from wound, 20.0 sq cm or less	22	11	$93.52	$93.33
10060 Simple or single drainage of skin abscess	17	17	$118.73	$118.37
73630 X-ray of foot, minimum of 3 views	14	14	$31.13	$31.10
99325 New patient assisted living visit, typically 30 minutes	12	12	$79.46	$79.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,667	454	$44.72	$44.26
11056 Removal of noncancer thickened skin growth, 2-4 growths	317	143	$64.38	$63.62
11055 Removal of single thickened skin growth	235	139	$53.77	$53.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	189	112	$44.01	$43.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$107.64	$105.49
99213 Established patient office or other outpatient visit, typically 15 minutes	86	80	$74.01	$71.98
11057 Removal of noncancer thickened skin growth, more than 4 growths	50	25	$72.05	$71.36
97597 Removal of tissue from wound, 20.0 sq cm or less	46	12	$85.16	$84.19
11720 Removal of fingernails or toenails, 1-5 nails	41	23	$32.28	$31.95
99325 New patient assisted living visit, typically 30 minutes	38	38	$80.32	$79.44
99335 Established patient assisted living visit, typically 25 minutes	20	18	$94.93	$93.97
73630 X-ray of foot, minimum of 3 views	19	16	$28.80	$28.39
10060 Simple or single drainage of skin abscess	12	11	$116.66	$111.66
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$78.96	$73.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,763	465	$44.60	$43.67
11056 Removal of noncancer thickened skin growth, 2-4 growths	352	165	$56.96	$55.69
11055 Removal of single thickened skin growth	268	150	$46.50	$45.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	246	133	$43.06	$41.83
99213 Established patient office or other outpatient visit, typically 15 minutes	88	78	$72.84	$69.25
97597 Removal of tissue from wound, 20.0 sq cm or less	85	15	$80.22	$78.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$109.59	$104.27
11057 Removal of noncancer thickened skin growth, more than 4 growths	52	29	$64.82	$63.51
99325 New patient assisted living visit, typically 30 minutes	49	49	$80.50	$78.91
11720 Removal of fingernails or toenails, 1-5 nails	44	16	$32.22	$31.53
73630 X-ray of foot, minimum of 3 views	30	28	$29.57	$26.17
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$73.65	$71.97
29550 Placement of strapping to toes	21	18	$21.75	$15.74
99335 Established patient assisted living visit, typically 25 minutes	21	20	$94.77	$92.80
10060 Simple or single drainage of skin abscess	20	15	$116.53	$109.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,559	497	$43.78	$41.24
11056 Removal of noncancer thickened skin growth, 2-4 growths	360	179	$56.01	$52.31
11055 Removal of single thickened skin growth	273	171	$45.59	$42.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	231	136	$42.28	$39.82
97597 Removal of tissue from wound, 20.0 sq cm or less	94	24	$72.02	$67.44
99213 Established patient office or other outpatient visit, typically 15 minutes	87	78	$72.00	$66.87
11057 Removal of noncancer thickened skin growth, more than 4 growths	74	38	$63.15	$58.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$107.14	$100.33
11720 Removal of fingernails or toenails, 1-5 nails	39	23	$31.07	$29.27
73630 X-ray of foot, minimum of 3 views	34	29	$29.74	$22.62
10060 Simple or single drainage of skin abscess	27	23	$114.48	$105.54
99335 Established patient assisted living visit, typically 25 minutes	22	20	$94.47	$88.81
29550 Placement of strapping to toes	19	15	$18.61	$13.48
99325 New patient assisted living visit, typically 30 minutes	17	17	$80.26	$75.79
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$72.99	$69.12

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License IL 016003724

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

Medicaid State Provider ID

016003724 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Kirk Brock , DPM

Podiatrist

NPI 1235240250

Doctor of Podiatric Medicine

Dr. H. Hadden , DPM

Podiatrist

NPI 1396766432

Doctor of Podiatric Medicine

Dr. Wilbert Leonard , DPM

Podiatrist

NPI 1710098652

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2011

Registered at 2708 MCGRAW DR, BLOOMINGTON, IL 617046012 (Tel: 3096632306)

📍

Updated Business Mailing Address June 09, 2011

Registered at 2708 MCGRAW DR, BLOOMINGTON, IL 617046012 (Tel: 3096632306)

👤

Provider Name / Credentials Updated June 09, 2011

Recorded as JOSEPH SETTER, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2011

Podiatrist (License #016003724 in IL)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215048202

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: June 09, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2708 Mcgraw Dr

Bloomington, IL 617046012

Phone: 3096632306

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.