SCOTT KERSTETTER D.O.
NPI 1093842122
Family Medicine in New York, NY

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
215 E 95TH ST, 2ND FL, NEW YORK, NY 10128(212) 996-8000(212) 423-3127 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2017, Dec 7, 2015 (2 updates tracked since 2015).

About Scott Kerstetter D.o. NPPES

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

SCOTT KERSTETTER D.O. (NPI 1093842122) is an individual family medicine provider in New York, New York, licensed in New York (207407) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1994).

NPPES Registry Identity

NPI1093842122
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT KERSTETTERCredential: D.O.
Location Address215 E 95TH ST, 2ND FLNew York, NY 10128-4077
Mailing Address55 Water St, Credentialing 12th FlNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Fax(212) 423-3127
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1994
Enumeration DateFebruary 27, 2007
Last NPPES UpdateFebruary 3, 20172 updates tracked since enumeration
NPI 1093842122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 207407
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
215 E 95TH ST, New York, NY 10128

Other Identifiers 3

Medicaid01862986NY
Medicare UPING83815NY
Medicare PINA400160708NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Scott Kerstetter 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.

PECOS PAC ID4183946072
PECOS Enrollment IDI20141203002256
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.

Areas of Expertise CMS Part B claims 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
73 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Obstetrics & Gynecology (Gynecologic Oncology)
215 E 95TH ST
NEW YORK, NY 10128
Internal Medicine (Hematology & Oncology)
215 E 95TH ST
NEW YORK, NY 10128
Podiatrist (Foot & Ankle Surgery)
215 E 95TH ST
NEW YORK, NY 10128
Internal Medicine (Rheumatology)
215 E 95TH ST
NEW YORK, NY 10128
Social Worker (Clinical)
215 E 95TH ST
NEW YORK, NY 10128
Internal Medicine
215 E 95TH ST
NEW YORK, NY 10128
Family Medicine
215 E 95TH ST
NEW YORK, NY 10128
Dentist (General Practice)
215 E 95TH ST, 18E
NEW YORK, NY 10128

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 Kerstetter's NPI number?

The NPI number for Scott Kerstetter is 1093842122. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Scott Kerstetter located?

Scott Kerstetter practices at 215 E 95th St 2nd Fl, New York, NY 10128. The listed phone number is (212) 996-8000.

What is Scott Kerstetter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Kerstetter enrolled in Medicare?

Yes. Scott Kerstetter 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.

Is Scott Kerstetter affiliated with any hospitals?

According to CMS data, Scott Kerstetter is affiliated with Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Scott Kerstetter was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.