DR. DAVID A SCALES MD, PHD
NPI 1497192835
Internal Medicine in New York, NY

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST # 331, NEW YORK, NY 10065(212) 746-4071 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2025, Oct 23, 2020 (2 updates tracked since 2020).

About Dr. David A Scales Md, Phd NPPES

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

DR. DAVID A SCALES MD, PHD (NPI 1497192835) is an individual internal medicine provider in New York, New York, licensed in New York (290655) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1497192835
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID A SCALESCredential: MD, PHD
Location Address525 E 68TH ST # 331New York, NY 10065-4870
Mailing Address525 E 68th St # 331New York, NY 10065-4870 · (212) 746-4071
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2010
Enumeration DateMay 24, 2013
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1497192835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 290655
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
525 E 68TH ST # 331, New York, NY 10065

Secondary Practice Location 1

Location 11493 Cambridge StCambridge, MA 02139-1047 · Phone (617) 591-6300

Accepted Insurance

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

Dr. David A Scales Md, Phd 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 ID8325341027
PECOS Enrollment IDI20180830002930
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 Reassignments

4

Medicare enrollment records show David Scales reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
525 E 68TH ST
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 980 clinicians in this Medicare group
Emergency Medicine
55 PALMER AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
Bronxville, NY 10708
  • Reassigned Medicare billing, New York enrollment
  • 531 clinicians in this Medicare group
General Acute Care Hospital
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 394 clinicians in this Medicare group
Critical Access
71 HOSPITAL AVE
North Adams, MA 01247
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1437839669 (Massachusetts)
  • 153 clinicians in this Medicare group

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 2

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.
86 services23 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.
66 services27 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
525 E 68TH ST # 331
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST # 331
NEW YORK, NY 10065
Internal Medicine
525 E 68TH ST # 331
NEW YORK, NY 10065
Internal Medicine
525 E 68TH ST # 331
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST # 331
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST # 331
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST # 331
NEW YORK, NY 10065
Internal Medicine
525 E 68TH ST # 331
NEW YORK, NY 10065

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 Scales's NPI number?

The NPI number for David Scales is 1497192835. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is David Scales located?

David Scales practices at 525 E 68th St # 331, New York, NY 10065. The listed phone number is (212) 746-4071.

What is David Scales's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Scales enrolled in Medicare?

Yes. David Scales 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.

Which organizations bill Medicare for David Scales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Scales reassigns Medicare benefits to 4 organizations: Weill Medical College Of Cornell (New York, NY), Lawrence Medical Associates, PC (Bronxville, NY), Berkshire Medical Center, Inc (Pittsfield, MA) and North Adams Regional Hospital Corporation (North Adams, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Scales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Scales accept?

Health plans from Taro Health list David Scales 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 Scales affiliated with any hospitals?

According to CMS data, David Scales is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for David Scales was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.