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DR. SCOTT F ULBERG M.D.
NPI 1700297686
Psychiatry & Neurology - Child & Adolescent Psychiatry in Watertown, NY

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment
211 J.B. WISE PLAZA, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2020, Dec 11, 2019 (2 updates tracked since 2019).

About Dr. Scott F Ulberg M.d. NPPES

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

DR. SCOTT F ULBERG M.D. (NPI 1700297686) is an individual child & adolescent psychiatry provider in Watertown, New York, licensed in New York (290899) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1700297686
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SCOTT F ULBERGCredential: M.D.
Location Address211 J.B. WISE PLAZAWatertown, NY 13601
Mailing Address750 E Adams StSyracuse, NY 13210-2306 · (315) 464-3165 · Fax (315) 464-3178
Phone(315) 782-7445
Fax(315) 779-1184
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 14, 2014
Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1700297686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 290899
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
211 J.B. WISE PLAZA, Watertown, NY 13601
Open in Google Maps ↗

Secondary Practice Location 1

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-3165 · Fax (315) 464-3178

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. Scott F Ulberg M.d. 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 ID4385990787
PECOS Enrollment IDI20180627001006
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

3

Medicare enrollment records show Scott Ulberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Home Of Jefferson County
Same address
Community/Behavioral Health
211 JB WISE PL
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1538455696 (315) 782-7445
River Hospital, Inc.
25 mi
Critical Access
4 FULLER ST
Alexandria Bay, NY 13607
  • Reassigned Medicare billing, New York enrollment
  • 89 clinicians in this Medicare group
NPI 1003814641 (315) 482-2511
Psychiatry Faculty Practice, Inc.
65 mi
Psychiatry
713 HARRISON ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 171 clinicians in this Medicare group
NPI 1881084820 (315) 464-3119

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 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.

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.
118 services38 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.
105 services30 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
60 services53 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

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

TAYLOR FREEMAN
Licensed Practical Nurse
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
SHAWNA STONE
Social Worker (Clinical)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
LISA M AUGUSTUS MHC
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
ANGELA ROTELLA
Licensed Practical Nurse
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
EUNMI PARK
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
SHIRLEY ALICE RETZ MHC
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
MARGARET RUTH MENDOZA PSY.D.
Student in an Organized Health Care Education/Training Program
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
PATRICIA LEONE NP
Nurse Practitioner (Psychiatric/Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445

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 Ulberg's NPI number?

The NPI number for Scott Ulberg is 1700297686. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Scott Ulberg located?

Scott Ulberg practices at 211 J.B. Wise Plaza, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Scott Ulberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Scott Ulberg enrolled in Medicare?

Yes. Scott Ulberg 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 Scott Ulberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Ulberg reassigns Medicare benefits to 3 organizations: Children's Home Of Jefferson County (Watertown, NY), River Hospital, Inc. (Alexandria Bay, NY) and Psychiatry Faculty Practice, Inc. (Syracuse, NY). 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 Ulberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Scott Ulberg affiliated with any hospitals?

According to CMS data, Scott Ulberg is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Scott Ulberg was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.