1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Obstetrics Gynecology
  6. NPI Profile

KASANDRA LYNNE SCALES MD, MPH
NPI 1023378247
Obstetrics & Gynecology in Syracuse, NY

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5162(315) 464-4613 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2021, Nov 22, 2021 (2 updates tracked since 2021).

About Kasandra Lynne Scales Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASANDRA LYNNE SCALES MD, MPH (NPI 1023378247) is an individual obstetrics & gynecology provider in Syracuse, New York, licensed in Virginia (0101260284) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2012).

NPPES Registry Identity

NPI1023378247
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKASANDRA LYNNE SCALESCredential: MD, MPH
Location Address750 E ADAMS STSyracuse, NY 13210-2342
Mailing Address4763 Norstar Blvd, Apt. 226Liverpool, NY 13088-4253 · (517) 927-3878
Phone(315) 464-5162
Fax(315) 464-4613
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2012
Enumeration DateMay 22, 2012
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1023378247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101260284
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
750 E ADAMS ST, Syracuse, NY 13210
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kasandra Lynne Scales Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658650999
PECOS Enrollment IDI20161109001935, I20170317000999, I20230725003438
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kasandra Scales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
247 mi
Health Maintenance Organization
3400 BOX HILL CORPORATE CENTER DR STE 100&200
Abingdon, MD 21009
NPI 1265971873 (410) 515-5440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kasandra Scales's NPI number?

The NPI number for Kasandra Scales is 1023378247. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Kasandra Scales located?

Kasandra Scales practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5162.

What is Kasandra Scales's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kasandra Scales enrolled in Medicare?

Yes. Kasandra Scales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kasandra Scales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kasandra Scales reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kasandra Scales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kasandra Scales was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.