DR. ROY D. SETTERGREN (M.D.) – Hospitalist Physician, NPI 1194055863
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. ROY D. SETTERGREN (M.D.)
120 N OAK ST
HINSDALE, IL 605213829
Phone: (630) 856-9000
Type: Mailing
1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
LA GRANGE, IL 605252659
Phone: (708) 245-8900
Fax: (708) 245-5777
Type: Mailing
BELOIT CLINIC
190 S E. HUEBBE PARKWAY
BELOIT, WI 535111842
Phone: (608) 364-2293
Fax: (608) 364-5452
Type: Mailing
BELOIT MEMORIAL HOSPITAL
1969 W. HART RD
BELOIT, WI 535112230
Phone: (608) 363-5971
Fax: (608) 363-5737
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220310002814 | I | Internal Medicine | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 476 | 163 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 428 | 87 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 153 | 148 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 99 | 91 | $0 |
| 99291 | Critical care, first 30-74 minutes | 33 | 22 | $0 |
Insurance plans in this area (ZIP 60521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine | FL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Geriatric Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine | NY | |
| Internal Medicine | IL | |
| H O S P I T A L I S T | IL |
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