1. Home
  2. Directory
  3. New York
  4. Fayetteville
  5. Otolaryngology
  6. NPI Profile

DR. EDWARD TRACY SALL MD,DDS
NPI 1710961198
Otolaryngology - Otolaryngic Allergy in Fayetteville, NY

Active since November 30, 2005PECOS Enrolled
100/100
CMS Quality Rating
4000 MEDICAL CENTER DR., STE 404, FAYETTEVILLE, NY 13066(315) 234-9865 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2024, Aug 24, 2021, Mar 25, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Edward Tracy Sall Md,dds NPPES

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

DR. EDWARD TRACY SALL MD,DDS (NPI 1710961198) is an individual otolaryngic allergy provider in Fayetteville, New York, licensed in New York (181365) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1992).

NPPES Registry Identity

NPI1710961198
Entity TypeIndividualMale
Primary Taxonomy207YX0602X
Provider Legal NameDR. EDWARD TRACY SALLCredential: MD,DDS
Location Address4000 MEDICAL CENTER DR., STE 404Fayetteville, NY 13066
Mailing Address5471 Kearny Villa Rd Ste 200San Diego, CA 92123-1143 · (866) 801-9440
Phone(315) 234-9865
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1992
Enumeration DateNovember 30, 2005
Last NPPES UpdateJune 18, 20245 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1710961198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngic AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0602X
License✔ Licensed in NY · 181365
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 104553 (CA)
4000 MEDICAL CENTER DR., Fayetteville, NY 13066
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Tracy Sall Md,dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214984467
PECOS Enrollment IDI20090522000375, I20210222000494, I20240701003787, I20260120000524
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 5

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.

Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
369 services325 patients
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.
109 services90 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
81 services81 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
40 services28 patients
Test to measure oxygen level in blood using ear or finger device continuously overnight 94762
This procedure involves using a small device, placed on your ear or finger, to continuously monitor your blood oxygen level overnight. It's painless, non-invasive, and helps assess your body's oxygen supply during sleep.
26 services26 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
83%630 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%5,498 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
46%504 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
97%1,934 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
73%3,183 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,825 patients
Patients screened: 94% · 1,825 patients
98%100 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 568 patients
Patients totalRate: 0% · 568 patients
0%568 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers42 claims42 services$31.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$70.78 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims35 services$23.30 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers33 claims193 services$15.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers43 claims43 services$50.13 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers31 claims31 services$15.97 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.

WILLIAM J DIBBLE DO
Family Medicine
4000 MEDICAL CENTER DR., SUITE 101 D/E
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7878

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 Edward Sall's NPI number?

The NPI number for Edward Sall is 1710961198. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Edward Sall located?

Edward Sall practices at 4000 Medical Center Dr. Ste 404, Fayetteville, NY 13066. The listed phone number is (315) 234-9865.

What is Edward Sall's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.

Is Edward Sall enrolled in Medicare?

Yes. Edward Sall is registered in the Medicare PECOS enrollment system.

What insurance does Edward Sall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Providence Health Plan list Edward Sall 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 Edward Sall was last updated on June 18, 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.