Active NPI 1922022581 Individual Practitioner Male Practitioner

Mel Setter , PA-C

Physician Assistant • Topeka, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mel Setter, PA-C is a certified Physician Assistant practicing in Topeka, KS. With approximately 29 years of clinical experience since completing medical education in 1997, Mel Setter delivers high-quality medical care to the local community at 920 SW LANE ST.

Mel Setter is affiliated with Topeka Ear, Nose And Throat, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic examination of nasal passages using an endoscope, incision of eardrum with insertion of eardrum tube under local or topical anesthesia. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

920 Sw Lane St
Suite # 200

Topeka, KS 666061543

Telephone 7852330500

Fax 7852330660

Associated Practice Facility / Clinic

🏢 Topeka Ear, Nose And Throat, P.a. Facility NPI 1881616845

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Topeka, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +17.3 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 14.0 Yrs

Regional Practice Density

105 Specialists

Practicing in Topeka, KS (1349 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Setter (29 Years) 29 Yrs

Topeka Specialty Average (11.7 Years) 11.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	1,140	637	$135.64	$70.66
31231 Diagnostic examination of nasal passages using an endoscope	51	47	$390.00	$139.61
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	48	44	$664.58	$167.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$220.00	$86.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$90.00	$43.67
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$156.15	$56.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	874	518	$125.00	$71.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	221	152	$90.00	$44.58
31231 Diagnostic examination of nasal passages using an endoscope	61	56	$390.00	$147.85
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	59	45	$652.54	$173.98
95117 Professional service for multiple injections of allergen	28	26	$30.00	$8.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$220.00	$88.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$150.00	$101.36
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$150.00	$56.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	574	377	$125.00	$72.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	426	276	$90.00	$44.89
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	90	12	$10.00	$1.16
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	28	22	$569.64	$162.69
31231 Diagnostic examination of nasal passages using an endoscope	21	21	$390.00	$143.24
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	15	15	$573.00	$203.84
31238 Control of bleeding of nose using an endoscope	15	14	$637.00	$198.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	492	11	$4.00	$3.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	355	227	$90.00	$45.34
99213 Established patient office or other outpatient visit, typically 15 minutes	299	203	$125.00	$73.92
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	20	16	$577.50	$166.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$34.00	$29.41
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$62.07	$55.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	245	183	$90.00	$36.48
99213 Established patient office or other outpatient visit, typically 15 minutes	183	151	$125.00	$60.87
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	19	16	$665.79	$175.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	756	428	$90.00	$36.26
99213 Established patient office or other outpatient visit, typically 15 minutes	308	238	$125.00	$59.89
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	43	40	$601.16	$167.48
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$150.00	$61.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	792	425	$90.00	$34.12
99213 Established patient office or other outpatient visit, typically 15 minutes	190	165	$125.00	$57.18
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	44	38	$650.00	$169.26
31238 Control of bleeding of nose using an endoscope	11	11	$637.00	$189.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	807	437	$90.00	$33.74
99213 Established patient office or other outpatient visit, typically 15 minutes	176	159	$125.00	$56.63
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	33	30	$583.33	$160.66
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$150.00	$58.52

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KS 1500587

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100346390C (KS)

Commercial Insurance / Payer ID Health Partners Of Kansas

210556 (KS)

Commercial Insurance / Payer ID Preferred Health Systems

000 (KS)

Commercial Insurance / Payer ID Blue Cross Blue Shield

426857 (KS)

Commercial Insurance / Payer ID Cigna

000 (KS)

Commercial Insurance / Payer ID Coventry

000 (KS)

Commercial Insurance / Payer ID Children's Mercy

000 (KS)

Commercial Insurance / Payer ID Humana/choice Care

000 (KS)

Commercial Insurance / Payer ID Multiplan

000 (KS)

Commercial Insurance / Payer ID Century Health Solutions

000 (KS)

Hospital & Practice Group Affiliations

Topeka Ear, Nose And Throat, P.a.

920 Sw Lane St, Topeka, KS 666062550

Phone: 7852330500

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Mary Wade , AuD

Audiologist

NPI 1003948514

Doctor of Audiology

Dr. Shirin Sattarin , AuD

Audiologist

NPI 1023692498

Doctor of Audiology

Hannah Eaton

Audiologist

NPI 1134051691

Dr. Jessica Gaughan , AuD

Audiologist

NPI 1194174490

Doctor of Audiology

Dr. Jason Lepse , MD

Otolaryngology

NPI 1285167437

Doctor of Medicine (M.D.)

Dr. Laura Finazzo , AuD

Audiologist

NPI 1376127019

Doctor of Audiology

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2012

Registered at 920 SW LANE ST, SUITE # 200, TOPEKA, KS 666061543 (Tel: 7852330500)

📍

Updated Business Mailing Address July 17, 2012

Registered at 920 SW LANE ST, SUITE # 200, TOPEKA, KS 666061543 (Tel: 7852330500)

👤

Provider Name / Credentials Updated July 17, 2012

Recorded as MEL SETTER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2012

Physician Assistant (License #1500587 in KS)

🟢

Initial NPI Registration & Enumeration July 27, 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: 1922022581

Entity Type:

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

Enumeration Date: July 27, 2006

Last Update: July 17, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

920 Sw Lane St, Suite # 200

Topeka, KS 666061543

Phone: 7852330500

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.