DR. SCOTT ALAN LICHTY M.D.
NPI 1124129127
Family Medicine in Sheldon, IA

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
800 OAK ST, SHELDON, IA 51201(712) 324-5356(712) 324-6515 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott Alan Lichty M.d. NPPES

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

DR. SCOTT ALAN LICHTY M.D. (NPI 1124129127) is an individual family medicine provider in Sheldon, Iowa, licensed in Iowa (31350) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Osceola Community Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1995).

NPPES Registry Identity

NPI1124129127
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT ALAN LICHTYCredential: M.D.
Location Address800 OAK STSheldon, IA 51201-1242
Mailing Address800 Oak St, P.o. Box 10Sheldon, IA 51201-1242 · (712) 324-5356 · Fax (712) 324-6515
Fax(712) 324-6515
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1995
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 4, 2022
NPPES CertifiedApril 4, 2022
NPI 1124129127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 31350
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.
800 OAK ST, Sheldon, IA 51201

Other Identifiers 3

Medicaid0638593IA
Medicaid0254656IA
Medicaid4130542IA

Accepted Insurance

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

Dr. Scott Alan Lichty M.d. 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 ID9234239369
PECOS Enrollment IDI20070703000095
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services25 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Osceola Community Hospital

Critical Access Hospitals · Sibley, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161345
Location600 9th Avenue NorthSibley, IA 51249 · Osceola County
Emergency services

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51201 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Referred Medical Equipment & Supplies CMS DME claims 23

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
9 suppliers124 claims180 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims19 services$1.08 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers13 claims2,160 services$1.68 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$6.00 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier16 claims960 services$1.67 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers23 claims23 services$46.08 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 20

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

Family Medicine
800 OAK ST
SHELDON, IA 51201
Nurse Practitioner (Family)
800 OAK ST
SHELDON, IA 51201
Nurse Practitioner (Family)
800 OAK ST
SHELDON, IA 51201
Nurse Practitioner (Family)
800 OAK ST
SHELDON, IA 51201
Physician Assistant
800 OAK ST
SHELDON, IA 51201
Nurse Anesthetist, Certified Registered
800 OAK ST
SHELDON, IA 51201
Physician Assistant
800 OAK ST
SHELDON, IA 51201
Nurse Practitioner (Family)
800 OAK ST
SHELDON, IA 51201

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 Lichty's NPI number?

The NPI number for Scott Lichty is 1124129127. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Scott Lichty located?

Scott Lichty practices at 800 Oak St, Sheldon, IA 51201. The listed phone number is (712) 324-5356.

What is Scott Lichty's specialty?

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

Is Scott Lichty enrolled in Medicare?

Yes. Scott Lichty 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.

What insurance does Scott Lichty accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Scott Lichty 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 Lichty affiliated with any hospitals?

According to CMS data, Scott Lichty is affiliated with Osceola Community Hospital, Orange City Area Health System, Sanford Sheldon Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Lichty was last updated on April 4, 2022. 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.