DR. DAVID A SCAPINI MD
NPI 1255322129
Otolaryngology in Sterling Heights, MI
About Dr. David A Scapini Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID A SCAPINI MD (NPI 1255322129) is an individual otolaryngology provider in Sterling Heights, Michigan, licensed in Michigan (4301407197) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Wayne State University School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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. David A Scapini 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.
Areas of Expertise CMS Part B claims 13
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIAscension Providence Rochester Hospital
Acute Care Hospitals · Rochester, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STERLING HEIGHTS, MI 48314
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 David Scapini's NPI number?
The NPI number for David Scapini is 1255322129. It was assigned to this individual provider in the NPPES registry on October 31, 2005.
Where is David Scapini located?
David Scapini practices at 11080 Hall Rd Ste A, Sterling Heights, MI 48314. The listed phone number is (586) 254-7200.
What is David Scapini's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is David Scapini enrolled in Medicare?
Yes. David Scapini 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 David Scapini accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list David Scapini 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 David Scapini affiliated with any hospitals?
According to CMS data, David Scapini is affiliated with Beaumont Hospital Royal Oak, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for David Scapini was last updated on September 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. David A Scapini, MD · NPI 1255322129
Otolaryngology physician in Sterling Heights, Michigan. Individual provider, active in the CMS NPPES registry since October 31, 2005.
## Identity
- **NPI:** 1255322129 (Entity type: Individual)
- **Enumerated:** October 31, 2005
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 4301407197 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 11080 HALL RD, STE A, Sterling Heights, MI 48314-1511
- **Phone:** (586) 254-7200 · **Fax:** (586) 254-7201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Wayne State University School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** September 19, 2009
- **Other identifiers:** Medicaid 103044902 (MI); Medicaid 3044902 (MI); Medicare UPIN F00417; and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1255322129) · Data from the CMS NPPES public registry.