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SCOTT R SANDERSON MD
NPI 1639334337
Emergency Medicine in Kailua, HI

Active since July 22, 2008PECOS Enrolled
349 AUWINALA RD, KAILUA, HI 96734(253) 777-9630(888) 449-0690 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Sep 3, 2016 (2 updates tracked since 2016).

About Scott R Sanderson Md NPPES

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

SCOTT R SANDERSON MD (NPI 1639334337) is an individual emergency medicine provider in Kailua, Hawaii, licensed in Hawaii (15712) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639334337
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSCOTT R SANDERSONCredential: MD
Location Address349 AUWINALA RDKailua, HI 96734-3434
Mailing Address349 Auwinala RdKailua, HI 96734-3434 · (253) 777-9630 · Fax (888) 449-0690
Phone(253) 777-9630
Fax(888) 449-0690
Sole ProprietorYes
Enumeration DateJuly 22, 2008
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1639334337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in HI · 15712✔ Licensed in MD · D0100063
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
349 AUWINALA RD, Kailua, HI 96734
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott R Sanderson Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Sanderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hawaii Emergency Physicians Associated Inc
0.8 mi
Emergency Medicine
407 ULUNIU ST, 4TH FLOOR
Kailua, HI 96734
  • Reassigned Medicare billing, Hawaii enrollment
  • 206 clinicians in this Medicare group
NPI 1801843198 (808) 261-3326
Waianae District Comprehensive Health And Hospital Board, Inc
18 mi
Clinic/Center
94-428 MOKUOLA ST STE 108B
Waipahu, HI 96797
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: Waianae District Comprehensive Health And Hospital Board Incorporated
  • 240 clinicians in this Medicare group
NPI 1447727318 (808) 697-3888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96734 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

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 Sanderson's NPI number?

The NPI number for Scott Sanderson is 1639334337. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Scott Sanderson located?

Scott Sanderson practices at 349 Auwinala Rd, Kailua, HI 96734. The listed phone number is (253) 777-9630.

What is Scott Sanderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Sanderson enrolled in Medicare?

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

Which organizations bill Medicare for Scott Sanderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Sanderson reassigns Medicare benefits to 2 organizations: Hawaii Emergency Physicians Associated Inc (Kailua, HI) and Waianae District Comprehensive Health And Hospital Board, Inc (Waipahu, HI). 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 Scott Sanderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Sanderson accept?

Health plans from Kaiser Permanente list Scott Sanderson 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 Sanderson was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.