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SCOTT BENNETT SHAPIRO M.D.
NPI 1801215918
Otolaryngology - Otology & Neurotology in Cincinnati, OH

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
3230 EDEN AVENUE, CINCINNATI, OH 45267(513) 558-7333 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 17, 2021, Jun 21, 2019 (2 updates tracked since 2019).

About Scott Bennett Shapiro M.d. NPPES

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

SCOTT BENNETT SHAPIRO M.D. (NPI 1801215918) is an individual otology & neurotology provider in Cincinnati, Ohio, licensed in New Jersey (25MA11020400) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of University Of Maryland School Of Medicine (2014).

NPPES Registry Identity

NPI1801215918
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameSCOTT BENNETT SHAPIROCredential: M.D.
Location Address3230 EDEN AVENUECincinnati, OH 45267-9200
Mailing Address3230 Eden AvenueCincinnati, OH 45267-0001 · (513) 558-7333
Phone(513) 558-7333
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2014
Enumeration DateApril 16, 2014
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1801215918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in NJ · 25MA11020400
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3230 EDEN AVENUE, Cincinnati, OH 45267
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Scott Bennett Shapiro 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 ID4082940929
PECOS Enrollment IDI20210607000872
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 Scott Shapiro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Neurosurgery Faculty
536 mi
Surgery
110 REHILL AVE
Somerville, NJ 08876
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group
NPI 1548356926 (908) 685-2856

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 6

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 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.
103 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services27 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.
28 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

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 Shapiro's NPI number?

The NPI number for Scott Shapiro is 1801215918. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Scott Shapiro located?

Scott Shapiro practices at 3230 Eden Avenue, Cincinnati, OH 45267. The listed phone number is (513) 558-7333.

What is Scott Shapiro's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Scott Shapiro enrolled in Medicare?

Yes. Scott Shapiro 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 organization bills Medicare for Scott Shapiro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Shapiro reassigns Medicare benefits to Rutgers Health-Rwj Neurosurgery Faculty (Somerville, 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 Scott Shapiro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Shapiro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Scott Shapiro 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.

Is Scott Shapiro affiliated with any hospitals?

According to CMS data, Scott Shapiro is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Scott Shapiro was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.