NICHOLAS SCOTT-WITTENBORN MD
NPI 1053817825
Otolaryngology in Fargo, ND

Q: What is Nicholas Scott-wittenborn's NPI number?

The NPI number for Nicholas Scott-wittenborn is 1053817825. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Q: What is Nicholas Scott-wittenborn's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment

801 BROADWAY N, FARGO, ND 58102(701) 234-2000 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2026, Jun 13, 2025 (2 updates tracked since 2025).

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About Nicholas Scott-wittenborn Md NPPES

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

NICHOLAS SCOTT-WITTENBORN MD (NPI 1053817825) is an individual otolaryngology provider in Fargo, North Dakota, licensed in North Dakota (PT24661) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053817825

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameNICHOLAS SCOTT-WITTENBORNCredential: MD

Location Address801 BROADWAY NFargo, ND 58102-3641

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419

Phone(701) 234-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 2, 2018

Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1053817825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in ND · PT24661✔ Licensed in OK · 45380

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

801 BROADWAY N, Fargo, ND 58102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Security Health Plan.Insurance ›

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

Nicholas Scott-wittenborn Md 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 ID2062769813

PECOS Enrollment IDI20260815000761

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 Nicholas Scott-wittenborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo

2.7 mi

Occupational Medicine

3838 12TH AVE N
Fargo, ND 58102

Reassigned Medicare billing, North Dakota enrollment
1,464 clinicians in this Medicare group

NPI 1952323974 (701) 234-4700

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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.

SARAH HOEPFNER

Speech-Language Pathologist