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MR. SCOTT E. CACKLER II PA-C
NPI 1417134628
Physician Assistant - Surgical in Columbus, OH

Active since January 30, 2008PECOS Enrolled
285 E STATE ST STE 400, COLUMBUS, OH 43215(614) 533-5000 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2022, May 26, 2021, May 30, 2017 (3 updates tracked since 2017).

About Mr. Scott E. Cackler Ii Pa-c NPPES

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

MR. SCOTT E. CACKLER II PA-C (NPI 1417134628) is an individual surgical provider in Columbus, Ohio, licensed in Ohio (50.002816) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417134628
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. SCOTT E. CACKLER IICredential: PA-C
Location Address285 E STATE ST STE 400Columbus, OH 43215-4368
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 533-5000
Sole ProprietorNo
Enumeration DateJanuary 30, 2008
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1417134628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50.002816
285 E STATE ST STE 400, Columbus, OH 43215
Open in Google Maps ↗

Other Identifiers 1

Medicaid0069232OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Scott E. Cackler Ii Pa-c 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.

Other Providers at the Same Location NPPES 8

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

MR. TARIQ OMAR LESCOUFLAIR M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
285 E STATE ST STE 400
COLUMBUS, OH 43215
Franklin County (614) 566-7370
ERIC M LADOW PA-C
Physician Assistant (Surgical)
285 E STATE ST STE 400
COLUMBUS, OH 43215
Franklin County (614) 566-7370
ZULFIKAR AMIN SHARIF M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
285 E STATE ST STE 400
COLUMBUS, OH 43215
Franklin County (614) 566-7370
AMBER LYNN CUNDRA PA-C
Physician Assistant
285 E STATE ST STE 400
COLUMBUS, OH 43215
Franklin County (614) 566-7370
KEITH KRIESBERG PA-C
Physician Assistant
285 E STATE ST STE 400
COLUMBUS, OH 43215
Franklin County (614) 566-7370
MATTHEW LAMB M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
285 E STATE ST STE 400
COLUMBUS, OH 43215
Franklin County (614) 566-7370
DR. EDMUND SALIM KASSIS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
285 E STATE ST STE 400
COLUMBUS, OH 43215
Franklin County (614) 566-7370
KATHERINE ELIZABETH KOPPES PA-C
Physician Assistant
285 E STATE ST STE 400
COLUMBUS, OH 43215
Franklin County (614) 566-7370

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 Cackler's NPI number?

The NPI number for Scott Cackler is 1417134628. It was assigned to this individual provider in the NPPES registry on January 30, 2008.

Where is Scott Cackler located?

Scott Cackler practices at 285 E State St Ste 400, Columbus, OH 43215. The listed phone number is (614) 533-5000.

What is Scott Cackler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Scott Cackler enrolled in Medicare?

Yes. Scott Cackler is registered in the Medicare PECOS enrollment system.

What insurance does Scott Cackler accept?

Health plans from CareSource and MedMutual list Scott Cackler 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.

When was this NPI record last updated?

The NPPES record for Scott Cackler was last updated on January 25, 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.