DR. SCOTT H ADKISSON D.O.
NPI 1063672921
Anesthesiology in Maywood, IL
About Dr. Scott H Adkisson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SCOTT H ADKISSON D.O. (NPI 1063672921) is an individual anesthesiology provider in Maywood, Illinois, licensed in Illinois (125-052932) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Kansas City College Of Medicine And Surgery (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Scott H Adkisson D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Scott Adkisson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montgomery, OH 45242
- Reassigned Medicare billing, Ohio enrollment
- 402 clinicians in this Medicare group
Circleville, OH 43113
- Reassigned Medicare billing, Ohio enrollment
- 365 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Hospital
Acute Care Hospitals · Cincinnati, OHBethesda North
Acute Care Hospitals · Cincinnati, OHMedicare 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.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Adkisson's NPI number?
The NPI number for Scott Adkisson is 1063672921. It was assigned to this individual provider in the NPPES registry on June 13, 2008.
Where is Scott Adkisson located?
Scott Adkisson practices at 2160 S 1st Ave Dept Of Anesthesiology, Maywood, IL 60153. The listed phone number is (708) 216-9169.
What is Scott Adkisson's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Scott Adkisson enrolled in Medicare?
Yes. Scott Adkisson 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 organizations bill Medicare for Scott Adkisson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Adkisson reassigns Medicare benefits to 2 organizations: Anesthesia Group Practice, Inc (Montgomery, OH) and Sandusky Anesthesia LLC (Circleville, OH). Each 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 Scott Adkisson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scott Adkisson accept?
Health plans from CareSource list Scott Adkisson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Scott Adkisson affiliated with any hospitals?
According to CMS data, Scott Adkisson is affiliated with Good Samaritan Hospital and Bethesda North.
When was this NPI record last updated?
The NPPES record for Scott Adkisson was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Scott H Adkisson, D.O. · NPI 1063672921
Anesthesiology physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since June 13, 2008.
## Identity
- **NPI:** 1063672921 (Entity type: Individual)
- **Enumerated:** June 13, 2008
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 125-052932 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2160 S 1ST AVE, DEPT OF ANESTHESIOLOGY, Maywood, IL 60153-3328
- **Phone:** (708) 216-9169
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Anesthesia Group Practice, Inc (NPI 1417951948, Montgomery, OH); Sandusky Anesthesia LLC (NPI 1770907859, Circleville, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City College Of Medicine And Surgery, class of 2007
## Record status
- **NPPES last updated:** June 13, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1063672921) · Data from the CMS NPPES public registry.