Active NPI 1184668204 Individual Practitioner Male Practitioner

Dr. Pete Setabutr , MD

Ophthalmology • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pete Setabutr, MD is a certified Ophthalmology practicing in Chicago, IL. With approximately 24 years of clinical experience since graduating from University Of Texas Medical School At Houston in 2002, Dr. Setabutr delivers high-quality medical care to the local community at 1740 W TAYLOR ST.

Dr. Setabutr is affiliated with The Board Of Trustees Of The University Of Illinois and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of content of eyes, established patient outpatient office visit, exam of visual field with limited testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1740 W Taylor St
Dept 3460

Chicago, IL 606127232

Telephone 3127042885

Fax 3127042737

Associated Practice Facility / Clinic

🏢 The Board Of Trustees Of The University Of Illinois Facility NPI 1780623710

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +1.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

322 Specialists

Practicing in Chicago, IL (954 Statewide)

Telehealth Adoption Rate

1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Setabutr (24 Years) 24 Yrs

Chicago Specialty Average (22.3 Years) 22.3 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
92285 Photography of content of eyes	65	60	$59.52	$3.33
99213 Established patient office or other outpatient visit, typically 15 minutes	58	48	$374.07	$68.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$550.44	$100.87
92081 Exam of visual field with limited testing	27	26	$80.59	$16.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$773.56	$140.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$474.33	$86.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$203.50	$36.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	49	$362.00	$69.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	52	$534.00	$101.16
92285 Photography of content of eyes	54	46	$57.00	$3.38
92081 Exam of visual field with limited testing	33	31	$78.00	$15.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$736.00	$141.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$453.00	$88.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$362.00	$69.47
92285 Photography of content of eyes	39	37	$60.49	$3.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$534.00	$103.66
92081 Exam of visual field with limited testing	11	11	$78.00	$16.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	80	74	$55.46	$3.52
99213 Established patient office or other outpatient visit, typically 15 minutes	68	60	$269.06	$72.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	43	$398.08	$106.92
92081 Exam of visual field with limited testing	25	25	$78.72	$16.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$570.21	$147.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$147.86	$38.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$370.17	$90.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$196.65	$55.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$301.14	$85.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$109.50	$28.41
92285 Photography of content of eyes	17	15	$68.76	$3.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$301.36	$82.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$506.82	$141.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	65	$187.90	$53.47
92082 Exam of visual field with intermediate testing	31	31	$91.94	$22.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$292.80	$83.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$106.79	$27.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$286.29	$82.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$487.08	$139.25
67908 Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis	11	11	$2703.27	$466.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	69	$184.00	$54.02
92082 Exam of visual field with intermediate testing	26	26	$90.00	$22.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$281.00	$83.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$103.00	$27.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	65	$184.00	$54.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$103.00	$27.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$281.00	$83.31
92082 Exam of visual field with intermediate testing	15	15	$90.00	$22.67

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036114311

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

The Board Of Trustees Of The University Of Illinois

1855 W Taylor St, Chicago, IL 606127242

Phone: 3129966590

Practice Associates & Co-Workers

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

20 Associated Practitioners

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Dr. Vladimir Vidanovic , MD

Pathology - Anatomic Pathology & Clinical Pathology

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2013

Registered at 1740 W TAYLOR ST, DEPT 3460, CHICAGO, IL 606127232 (Tel: 3127042885)

📍

Updated Business Mailing Address September 05, 2013

Registered at 200 W ADAMS ST, SUITE 225, CHICAGO, IL 606065212 (Tel: 3127042885)

👤

Provider Name / Credentials Updated September 05, 2013

Recorded as PETE SETABUTR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2013

Ophthalmology (License #036114311 in IL)

🟢

Initial NPI Registration & Enumeration June 16, 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: 1184668204

Entity Type:

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

Enumeration Date: June 16, 2006

Last Update: September 05, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 W Adams St, Suite 225

Chicago, IL 606065212

Phone: 3127042885

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.