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SHELBY MARGARET SCORDO PA
NPI 1154808764
Physician Assistant in Watertown, NY

Active since July 26, 2018PECOS Enrolled
18983 US ROUTE 11, WATERTOWN, NY 13601(315) 782-0059(315) 782-0226 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2018, Jul 26, 2018 (2 updates tracked since 2018).

About Shelby Margaret Scordo Pa NPPES

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

SHELBY MARGARET SCORDO PA (NPI 1154808764) is an individual physician assistant in Watertown, New York, licensed in New York (022344) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154808764
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBY MARGARET SCORDOCredential: PA
Location Address18983 US ROUTE 11Watertown, NY 13601-5320
Mailing Address18983 Us Route 11Watertown, NY 13601-5320 · (315) 782-0059 · Fax (315) 782-0226
Phone(315) 782-0059
Fax(315) 782-0226
Sole ProprietorNo
Enumeration DateJuly 26, 2018
Last NPPES UpdateOctober 18, 20182 updates tracked since enumeration
✔ NPI 1154808764 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 · 022344
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.
18983 US ROUTE 11, Watertown, NY 13601
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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)

Shelby Margaret Scordo 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 13601 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
93%58 patients4/55-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.

Other Providers at the Same Location NPPES 4

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

DR. CHRISTOPHER PHILIP BLACK M.D.
Family Medicine
18983 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-0059
KAREN ANNE WILLIAMS MD
Family Medicine
18983 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-0059
LACEY E SHAMBO DNP-BC
Nurse Practitioner (Family)
18983 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-0059
KAREN A. WILLIAMS, MD, PC
Family Medicine
18983 US ROUTE 11
WATERTOWN, NY 13601
Jefferson County (315) 782-0059

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 Shelby Scordo's NPI number?

The NPI number for Shelby Scordo is 1154808764. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Shelby Scordo located?

Shelby Scordo practices at 18983 Us Route 11, Watertown, NY 13601. The listed phone number is (315) 782-0059.

What is Shelby Scordo's specialty?

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

Is Shelby Scordo enrolled in Medicare?

Yes. Shelby Scordo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Scordo was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.