# Gavin Setzen, MD

Source: https://ourhealthnetwork.com/doctor/gavin-setzen-md-1063419232
NPI: 1063419232
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Gavin Setzen, MD is a otolaryngology based in Albany, NY practicing at Albany Ent And Allergy Services Pc with NPI 1063419232.

## Profile

- Primary specialty: Otolaryngology
- Credential: MD
- Gender: Male
- Graduation year: 1987
- NPI: 1063419232 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1063419232))

## Practice and contact

- Practice name: Albany Ent And Allergy Services Pc
- Address: 123 Everett Rd, Albany, NY, 122051407
- Phone: (518) 701-2000
- Group practice size: 49 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 80.79/100
- Quality category score: 74.62/100
- Promoting Interoperability score: 98.00/100
- Improvement Activities score: 40.00/100
- Cost category score: 63.0055/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (9 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 11 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 6 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 6 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 3 plans
- [EmblemHealth](https://ourhealthnetwork.com/insurance/emblemhealth) — 3 plans
- [Highmark BS Northeastern NY](https://ourhealthnetwork.com/insurance/highmark-bs-northeastern-ny) — 1 plan
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 1 plan

To verify a specific plan covers Gavin Setzen, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1063419232).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 42 disclosed payments from medical industry sources totaling approximately $52,642.

Largest disclosed payer: Stryker Corporation ($31,762 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Otolaryngology doctors in ALBANY, NY](https://ourhealthnetwork.com/otolaryngology/ny/albany)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1063419232)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)