ROY A SETZENFAND (MD) – Internal Medicine Physician, NPI 1659305696
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for ROY A SETZENFAND (MD)
4510 Medical Center Dr
Suite 311
McKinney, TX 750691650
Phone: (972) 540-6256
Fax: (972) 540-5071
Type: Location
4115 E Lancaster Ave
Fort Worth, TX 761033614
Phone: (817) 796-7370
Fax: (817) 764-0714
Type: Location
2928 N Belt Line Rd
Irving, TX 750625247
Phone: (214) 307-7786
Fax: (469) 460-9091
Type: Location
2360 Gus Thomasson Rd
Dallas, TX 752283005
Phone: (214) 301-7071
Fax: (469) 535-8772
Type: Location
4510, Medical Center Drive, McKinney, Collin County, Texas, 75069, United States
SUITE 311
MCKINNEY, TX 750691650
Phone: (972) 540-6256
Fax: (972) 540-5071
Type: Mailing
2110 N Galloway Ave Ste 116
Mesquite, TX 751505737
Phone: (972) 426-5426
Fax: (459) 646-8812
Type: Location
1950 Ephriham Ave
Fort Worth, TX 761646670
Phone: (817) 813-7075
Fax: (817) 764-0656
Type: Location
1515 S Buckner Blvd Ste 141
Dallas, TX 752171794
Phone: (214) 305-7065
Fax: (469) 574-0383
Type: Location
8840 Benbrook Blvd Ste 101
Benbrook, TX 761262173
Phone: (817) 813-7101
Fax: (817) 382-5458
Type: Location
4801 S Cooper St Ste 401
Arlington, TX 760175963
Phone: (817) 813-7100
Fax: (817) 382-5458
Type: Location
PO BOX 746079
ATLANTA, GA 303746079
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
1213 E TRINITY MILLS RD STE 173
CARROLLTON, TX 750061446
Phone: (972) 962-1296
Fax: (469) 340-4129
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $145.
Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: PFIZER INC. ($109).
Total Amount
$145
General + Research + Ownership
Payments
8
Total payment records
General Amount
$145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $109 |
| Novo Nordisk Inc | $36 |
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: 2004-07-14
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 |
|---|---|---|---|---|
| I20040714000530 | I | Internal Medicine | TX | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 138 | 64 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | 11 | $0 |
| G0009 | Administration of pneumococcal vaccine | 11 | 11 | $0 |
Insurance plans in this area (ZIP 75069)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 90670 | Pneumococcal vaccine for injection into muscle | 96 | 96 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| Internal Medicine | TX | |
| Physical Therapist In Private Practice | NC | |
| - | NY | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| Nurse Practitioner | MI | |
| Family Practice | TX | |
| Physician Assistant | NC | |
| Physical Medicine And Rehabilitation, Pain Management | TX |
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