SCOTT L. DACK MPAS/ATC/PAC
NPI 1194947325
Physician Assistant in Alexandria, MN

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
610 30TH AVE W, ALEXANDRIA, MN 56308(320) 763-2540(320) 763-2540 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Dec 14, 2020 (2 updates tracked since 2020).

About Scott L. Dack Mpas/atc/pac NPPES

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

SCOTT L. DACK MPAS/ATC/PAC (NPI 1194947325) is an individual physician assistant in Alexandria, Minnesota, licensed in Minnesota (10290) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1194947325
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT L. DACKCredential: MPAS/ATC/PAC
Location Address610 30TH AVE WAlexandria, MN 56308-3426
Mailing Address610 30th Ave WAlexandria, MN 56308-3426 · (320) 763-5123
Fax(320) 763-2540
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 3, 2007
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
NPI 1194947325 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 MN · 10290
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.

610 30TH AVE W, Alexandria, MN 56308

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

Scott L. Dack Mpas/atc/pac 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 ID7911093638
PECOS Enrollment IDI20071011000016
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.

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.
257 services160 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.
150 services126 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.
71 services71 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Alomere Health

Acute Care Hospitals · Alexandria, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240030
Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56308 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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
3 suppliers12 claims37 services$6.17 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers16 claims16 services$42.79 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers12 claims12 services$66.32 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers12 claims12 services$21.37 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims44 services$2.40 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$35.98 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.

Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Pediatrics
610 30TH AVE W
ALEXANDRIA, MN 56308
Family Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Family Medicine
610 30TH AVE W, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308
Nurse Practitioner (Family)
610 30TH AVE W
ALEXANDRIA, MN 56308
Registered Nurse (Addiction (Substance Use Disorder))
610 30TH AVE W
ALEXANDRIA, MN 56308
Nurse Practitioner
610 30TH AVE W
ALEXANDRIA, MN 56308

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 Dack's NPI number?

The NPI number for Scott Dack is 1194947325. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Scott Dack located?

Scott Dack practices at 610 30th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-2540.

What is Scott Dack's specialty?

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

Is Scott Dack enrolled in Medicare?

Yes. Scott Dack 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 Dack accept?

Health plans from Medica list Scott Dack 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 Dack affiliated with any hospitals?

According to CMS data, Scott Dack is affiliated with Alomere Health.

When was this NPI record last updated?

The NPPES record for Scott Dack was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.