MR. STEPHEN CLEVE SCARSETH NP
NPI 1508071754
Nurse Practitioner - Family in Candor, NY

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
54 MAIN ST, CANDOR, NY 13743(607) 659-7272(607) 659-7272 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Stephen Cleve Scarseth Np NPPES

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

MR. STEPHEN CLEVE SCARSETH NP (NPI 1508071754) is an individual family provider in Candor, New York, licensed in New York (330771) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1508071754
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. STEPHEN CLEVE SCARSETHCredential: NP
Location Address54 MAIN STCandor, NY 13743
Mailing Address33 Lewis Rd, 2nd FlBinghamton, NY 13905 · (607) 729-8156 · Fax (607) 729-3982
Fax(607) 659-7272
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 11, 2007
Last NPPES UpdateFebruary 27, 2019
NPI 1508071754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 330771
54 MAIN ST, Candor, NY 13743

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

Mr. Stephen Cleve Scarseth Np 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 ID5890066419
PECOS Enrollment IDI20170801000200
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 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.

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.
198 services91 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.
73 services47 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.
57 services57 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13743 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Referred Medical Equipment & Supplies CMS DME claims 2

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
5 suppliers19 claims49 services$4.16 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims1,686 services$0.03 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 5

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

Nurse Practitioner (Family)
54 MAIN ST
CANDOR, NY 13743
Family Medicine
54 MAIN ST
CANDOR, NY 13743
Nurse Practitioner (Family)
54 MAIN ST
CANDOR, NY 13743
Family Medicine
54 MAIN ST
CANDOR, NY 13743
Physician Assistant
54 MAIN ST
CANDOR, NY 13743

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 Stephen Scarseth's NPI number?

The NPI number for Stephen Scarseth is 1508071754. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Stephen Scarseth located?

Stephen Scarseth practices at 54 Main St, Candor, NY 13743. The listed phone number is (607) 659-7272.

What is Stephen Scarseth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephen Scarseth enrolled in Medicare?

Yes. Stephen Scarseth 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.

Is Stephen Scarseth affiliated with any hospitals?

According to CMS data, Stephen Scarseth is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Stephen Scarseth was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.