SCOTT W. SMILEN M.D.
NPI 1811985518
Obstetrics & Gynecology - Gynecologic Oncology in New York, NY

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
530 1ST AVE, HCC 5TH FL, NEW YORK, NY 10016(212) 263-8888 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Scott W. Smilen M.d. NPPES

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

SCOTT W. SMILEN M.D. (NPI 1811985518) is an individual gynecologic oncology provider in New York, New York, licensed in New York (182090) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1988).

NPPES Registry Identity

NPI1811985518
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameSCOTT W. SMILENCredential: M.D.
Location Address530 1ST AVE, HCC 5TH FLNew York, NY 10016-6402
Mailing Address530 1st Ave, Hcc 5th FlNew York, NY 10016-6402 · (212) 263-8888
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1988
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1811985518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in NY · 182090
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
530 1ST AVE, New York, NY 10016

Other Identifiers 1

Medicaid01376329NY

Accepted 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 W. Smilen 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 ID9638270945
PECOS Enrollment IDI20080606000036
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 Smilen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
530 1ST AVE, HCC 6F
New York, NY 10016
  • Reassigned Medicare billing, New Jersey and New York enrollments
  • Also billed through NPI 1285826438 (New York)
  • 66 clinicians in this Medicare group
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

Other Providers at the Same Location NPPES 20

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

Pediatrics
530 1ST AVE, SUITE 7A
NEW YORK, NY 10016
Physician Assistant (Medical)
530 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Nurse Practitioner (Family)
530 1ST AVE, SUITE 10Q
NEW YORK, NY 10016
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Plastic Surgery
530 1ST AVE, SUITE 8Y
NEW YORK, NY 10016
Internal Medicine (Medical Oncology)
530 1ST AVE
NEW YORK, NY 10016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016

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 Smilen's NPI number?

The NPI number for Scott Smilen is 1811985518. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Scott Smilen located?

Scott Smilen practices at 530 1st Ave Hcc 5th Fl, New York, NY 10016. The listed phone number is (212) 263-8888.

What is Scott Smilen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Scott Smilen enrolled in Medicare?

Yes. Scott Smilen 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 Smilen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Smilen reassigns Medicare benefits to 3 organizations: New York University (New York, NY), Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Smilen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Smilen accept?

Health plans from Oscar Health list Scott Smilen 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 Scott Smilen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.