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PHILIP MARK SCADUTO MD
NPI 1710912332
Internal Medicine in Boonton, NJ

Active since July 12, 2006PECOS Enrolled
223 WEST MAIN ST, BOONTON, NJ 07005(973) 335-8656(973) 335-8986 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Philip Mark Scaduto Md NPPES

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

PHILIP MARK SCADUTO MD (NPI 1710912332) is an individual internal medicine provider in Boonton, New Jersey, licensed in New Jersey (25MA04449300) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710912332
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILIP MARK SCADUTOCredential: MD
Location Address223 WEST MAIN STBoonton, NJ 07005
Mailing AddressPo Box 95000 Lb# 7550Philadelphia, PA 19195-7550 · (844) 362-1735 · Fax (973) 290-7495
Phone(973) 335-8656
Fax(973) 335-8986
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 12, 2018
✔ NPI 1710912332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA04449300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
223 WEST MAIN ST, Boonton, NJ 07005
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Mark Scaduto 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 Reassignment

Medicare enrollment records show Philip Scaduto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care Partners, LLC
Same address
Internal Medicine
223 W MAIN ST, SUITE 3
Boonton, NJ 07005
  • Reassigned Medicare billing, New Jersey enrollment
  • 103 clinicians in this Medicare group
NPI 1003196858 (973) 335-8656

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.

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.
118 services108 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.
32 services32 patients
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.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07005 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
7 suppliers20 claims40 services$6.25 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

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

PATRICIA M RENZ MD
Internal Medicine
223 WEST MAIN ST
BOONTON, NJ 07005
Morris County (973) 335-8656

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 Philip Scaduto's NPI number?

The NPI number for Philip Scaduto is 1710912332. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Philip Scaduto located?

Philip Scaduto practices at 223 West Main St, Boonton, NJ 07005. The listed phone number is (973) 335-8656.

What is Philip Scaduto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philip Scaduto enrolled in Medicare?

Yes. Philip Scaduto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Philip Scaduto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Scaduto reassigns Medicare benefits to Primary Care Partners, LLC (Boonton, NJ). The 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 Philip Scaduto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Scaduto was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.