SCOTT SAPPERSTEIN MD
NPI 1235223454
Hospitalist in Malvern, PA

Q: What is Scott Sapperstein's NPI number?

The NPI number for Scott Sapperstein is 1235223454. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Scott Sapperstein's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Sapperstein was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment

414 PAOLI PIKE, MALVERN, PA 19355(484) 596-3963 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Scott Sapperstein Md NPPES

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

SCOTT SAPPERSTEIN MD (NPI 1235223454) is an individual hospitalist provider in Malvern, Pennsylvania, licensed in Pennsylvania (MD069969L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1997).

NPPES Registry Identity

NPI1235223454

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameSCOTT SAPPERSTEINCredential: MD

Location Address414 PAOLI PIKEMalvern, PA 19355-3311

Mailing Address414 Paoli PikeMalvern, PA 19355-3311 · (484) 596-3963

Phone(484) 596-3963

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1997

Enumeration DateOctober 3, 2006

Last NPPES UpdateMay 11, 2015

✔ NPI 1235223454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD069969L

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD069969L (PA)

414 PAOLI PIKE, Malvern, PA 19355

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Other Identifiers 3

Medicaid001809523005PA

Medicare UPINH15325

Medicare ID-Type Unspecified037742

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

Scott Sapperstein Md 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 ID4486779253

PECOS Enrollment IDI20100916000760

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.

Medicare Billing Reassignment

Medicare enrollment records show Scott Sapperstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Associates Of The Main Line, PC

Same address

Hospitalist

414 PAOLI PIKE
Malvern, PA 19355

Reassigned Medicare billing, Pennsylvania enrollment
4 clinicians in this Medicare group

NPI 1033276076 (484) 596-5981

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 3

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.

1,409 services274 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

912 services294 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

292 services268 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19355 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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.

MEDICAL ASSOCIATES OF THE MAIN LINE, PC

Hospitalist