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DR. ERIC THOMAS SCARBROUGH M.D.
NPI 1700844651
Otolaryngology in Riverhead, NY

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
400 OLD COUNTRY ROAD, SUITE 16, RIVERHEAD, NY 11901(631) 574-3419(631) 727-8110 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2019, Mar 25, 2016 (2 updates tracked since 2016).

About Dr. Eric Thomas Scarbrough M.d. NPPES

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

DR. ERIC THOMAS SCARBROUGH M.D. (NPI 1700844651) is an individual otolaryngology provider in Riverhead, New York, licensed in New York (239950) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of Georgetown University School Of Medicine (1993).

NPPES Registry Identity

NPI1700844651
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ERIC THOMAS SCARBROUGHCredential: M.D.
Location Address400 OLD COUNTRY ROAD, SUITE 16Riverhead, NY 11901-2145
Mailing Address660 White Plains Rd Fl 4Tarrytown, NY 10591-5139 · (914) 984-2546
Phone(631) 574-3419
Fax(631) 727-8110
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1993
Enumeration DateMay 2, 2006
Last NPPES UpdateApril 4, 20192 updates tracked since enumeration
✔ NPI 1700844651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NY · 239950
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
400 OLD COUNTRY ROAD, Riverhead, NY 11901
Open in Google Maps ↗

Other Identifiers 2

Other239950NY · Nys License
OtherP00972097NY · Railroad Medicare Pin

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

Dr. Eric Thomas Scarbrough 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 ID4981607355
PECOS Enrollment IDI20060825000063
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 10

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 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.
820 services676 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
487 services409 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
362 services362 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
320 services318 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
197 services157 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
172 services143 patients

Hospital Affiliations CMS Care Compare 2

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

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

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.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$42.64 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers24 claims24 services$30.11 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.

PAUL E KELLY M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
400 OLD COUNTRY ROAD, SUITE 16
RIVERHEAD, NY 11901
Suffolk County (631) 574-3419
DR. DARREN HIRSCH M.D.
Allergy & Immunology (Allergy)
400 OLD COUNTRY ROAD, SUITE 16
RIVERHEAD, NY 11901
Suffolk County (631) 574-3419
PAUL JOSEPH DAVEY MD
Otolaryngology
400 OLD COUNTRY ROAD, SUITE 16
RIVERHEAD, NY 11901
Suffolk County (631) 574-3419
DR. KEVIN BRAAT M.D.
Otolaryngology
400 OLD COUNTRY ROAD, SUITE 16
RIVERHEAD, NY 11901
Suffolk County (631) 574-3419
DR. BRITTNEY LYNN KELLY AU.D.
Audiologist
400 OLD COUNTRY ROAD, UNIT 16
RIVERHEAD, NY 11901
Suffolk County (631) 727-8050

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 Eric Scarbrough's NPI number?

The NPI number for Eric Scarbrough is 1700844651. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Eric Scarbrough located?

Eric Scarbrough practices at 400 Old Country Road Suite 16, Riverhead, NY 11901. The listed phone number is (631) 574-3419.

What is Eric Scarbrough's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Eric Scarbrough enrolled in Medicare?

Yes. Eric Scarbrough 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 Eric Scarbrough affiliated with any hospitals?

According to CMS data, Eric Scarbrough is affiliated with Peconic Bay Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Eric Scarbrough was last updated on April 4, 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.