SCOTT RANDOLPH CERESNAK MD
NPI 1649396235
Pediatrics - Pediatric Cardiology in Palo Alto, CA

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Randolph Ceresnak Md NPPES

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

SCOTT RANDOLPH CERESNAK MD (NPI 1649396235) is an individual pediatric cardiology provider in Palo Alto, California, licensed in California (A103868) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2002).

NPPES Registry Identity

NPI1649396235
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameSCOTT RANDOLPH CERESNAKCredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2002
Enumeration DateMarch 22, 2007
Last NPPES UpdateApril 11, 2024
NPPES CertifiedApril 11, 2024
NPI 1649396235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in CA · A103868
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedInternal Medicine · Adult Congenital Heart DiseaseTaxonomy 207RA0002X · License A103868 (CA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A103868 (CA)
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License A103868 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A103868 (CA)
725 WELCH RD, Palo Alto, CA 94304

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

Scott Randolph Ceresnak 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.

PECOS PAC ID547315152
PECOS Enrollment IDI20131023001161
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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
33 services18 patients

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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Other Providers at the Same Location NPPES 20

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

Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304

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 Ceresnak's NPI number?

The NPI number for Scott Ceresnak is 1649396235. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Scott Ceresnak located?

Scott Ceresnak practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Scott Ceresnak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Scott Ceresnak enrolled in Medicare?

Yes. Scott Ceresnak 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.

When was this NPI record last updated?

The NPPES record for Scott Ceresnak was last updated on April 11, 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.