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SCOTT A LIBERTY PA
NPI 1053641886
Physician Assistant in Plattsburgh, NY

Active since December 29, 2009PECOS Enrolled
79 HAMMOND LN, SUITE 2, PLATTSBURGH, NY 12901(518) 563-5900 Get Directions Write a Review

NPPES record last updated: December 29, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott A Liberty Pa NPPES

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

SCOTT A LIBERTY PA (NPI 1053641886) is an individual physician assistant in Plattsburgh, New York, licensed in New York (003781) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053641886
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT A LIBERTYCredential: PA
Location Address79 HAMMOND LN, SUITE 2Plattsburgh, NY 12901-2008
Mailing Address3794 State Route 3Saranac, NY 12981-3104 · (518) 293-7302
Phone(518) 563-5900
Sole ProprietorYes
Enumeration DateDecember 29, 2009
✔ NPI 1053641886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 003781
Definition
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.
79 HAMMOND LN, Plattsburgh, NY 12901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott A Liberty Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%75 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
70%115 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims71 services$5.86 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$8.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

JONATHAN BEACH DO PLLC
Clinic/Center (Urgent Care)
79 HAMMOND LN, SUITE #2
PLATTSBURGH, NY 12901
Clinton County (518) 563-5900
LINCARE INC.
Durable Medical Equipment & Medical Supplies
79 HAMMOND LN
PLATTSBURGH, NY 12901
Clinton County (518) 566-0202
THOMAS G. TRUDELL, INC.
Prosthetic/Orthotic Supplier
79 HAMMOND LN
PLATTSBURGH, NY 12901
Clinton County (518) 563-5343
MS. TRICIA D MILLER P.A.
Physician Assistant
79 HAMMOND LN, SUITE 2
PLATTSBURGH, NY 12901
Clinton County (518) 563-5900
BEACH MEDICAL SERVICES
Clinic/Center (Primary Care)
79 HAMMOND LN, SUITE 2
PLATTSBURGH, NY 12901
Clinton County (518) 563-5900

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 Scott Liberty's NPI number?

The NPI number for Scott Liberty is 1053641886. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Where is Scott Liberty located?

Scott Liberty practices at 79 Hammond Ln Suite 2, Plattsburgh, NY 12901. The listed phone number is (518) 563-5900.

What is Scott Liberty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Liberty enrolled in Medicare?

Yes. Scott Liberty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Liberty was last updated on December 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.