DR. SCOTT MICHAEL STICKLES D.O.
NPI 1194984914
Radiology - Diagnostic Radiology in Elmhurst, NY
Quality Rating: 99.39 out of 100 score
NPI Status: Active since June 06, 2008
Contact Information
8940 56TH AVE
ELMHURST, NY
ZIP 11373
Phone: (718) 335-5532
Fax: (718) 505-0241
- Individual
- Male
- Years of Experience 23
- Radiology
- Diagnostic Radiology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About SCOTT STICKLES
This page provides the complete NPI Profile along with additional information for Scott Stickles, a provider established in Elmhurst, New York with a medical specialization in Radiology, focusing in diagnostic radiology and more than 23 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2003. The healthcare provider is registered in the NPI registry with number 1194984914 assigned on June 2008. The practitioner's primary taxonomy code is 2085R0202X with license number 248461-1 (NY). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1194984914
- Provider Name
- DR. SCOTT MICHAEL STICKLES D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8940 56TH AVE ELMHURST, NY 11373
- Location Phone
- (718) 335-5532
- Location Fax
- (718) 505-0241
- Mailing Address
- PO BOX 6257 ASTORIA, NY 11106
- Mailing Phone
- (718) 204-4995
- Medical School Name
- NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2008
- Last Update Date
- 08-06-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 248461-1
- License State
- NY
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
G400045600 | MEDICARE PIN (08) | NY | |
03109551 | MEDICAID (05) | NY | |
G400045593 | MEDICARE PIN (08) | NY |
Medicare Participation & PECOS Enrollment Status
Scott Stickles is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Scott Stickles is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 648322677
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090722000136
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
3d radiographic procedure
3d radiographic procedure with computerized image postprocessing
Blood creatinine level
Complete ultrasound of abdomen and pelvis artery and vein blood flow
Complete ultrasound scan behind abdominal cavity
Complete ultrasound scan behind abdominal cavity
Complete ultrasound scan of 1 breast
Complete ultrasound scan of abdomen
Complete ultrasound scan of pelvis
Ct scan of abdomen and pelvis before and after contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of abdomen before and after contrast
Ct scan of abdominal aorta and both leg arteries with contrast
Ct scan of blood vessels of abdomen and pelvis with contrast
Ct scan of blood vessels of chest with contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of chest without contrast
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
Diagnostic mammography of 1 breast
Diagnostic mammography of both breasts
Injection, furosemide, up to 20 mg
Injection, gadobutrol, 0.1 ml
Limited ultrasound scan behind abdominal cavity
Limited ultrasound scan of abdomen
Limited ultrasound scan of abdomen
Limited ultrasound scan of pelvis
Low dose ct scan of chest for lung cancer screening
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Mri scan of abdomen before and after contrast
Mri scan of abdomen without contrast
Mri scan of pelvis before and after contrast
Screening 3d breast mammography
Screening mammography
Ultrasound of both sides of head and neck blood flow
Ultrasound scan of head and neck soft tissue
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
X-ray of abdomen, 1 view
X-ray of abdomen, 1 view
X-ray of abdomen, 2 views
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of chest, 2 views
X-ray of hand, minimum of 3 views
X-ray of knee, 4 or more views
X-ray of shoulder, minimum of 2 views
A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.
This service was performed 154 times for 76 patientsA 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
This service was performed 27 times for 16 patientsA blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
This service was performed 21 times for 21 patientsThis procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.
This service was performed 40 times for 20 patientsA complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 22 times for 22 patientsA complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 242 times for 133 patientsA complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
This service was performed 94 times for 91 patientsA complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
This service was performed 379 times for 193 patientsA complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
This service was performed 151 times for 78 patientsA CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.
This service was performed 193 times for 102 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 52 times for 52 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 517 times for 263 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 22 times for 22 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 256 times for 131 patientsA CT scan of the abdomen before and after contrast is a diagnostic procedure. It involves taking detailed images of your abdomen area. Initially, images are taken without a contrast agent. Then, a contrast dye is given to highlight specific areas inside your body, helping to provide clearer images for better diagnosis.
This service was performed 23 times for 12 patientsA CT scan of the abdominal aorta and both leg arteries with contrast is a medical imaging procedure. A special dye is injected to make your blood vessels visible on the scan. This helps to check for any blockages or abnormalities in these areas.
This service was performed 38 times for 19 patientsA CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.
This service was performed 28 times for 14 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 19 times for 19 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 33 times for 17 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 21 times for 21 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 227 times for 114 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 26 times for 26 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 467 times for 248 patientsDiagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
This service was performed 28 times for 28 patientsDiagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
This service was performed 28 times for 26 patientsDiagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
This service was performed 15 times for 15 patientsFurosemide is a medication given via injection, often to help your body eliminate excess fluid or salt. It's typically used to treat issues like heart failure or high blood pressure. The dose mentioned, up to 20 mg, will be adjusted based on your specific needs.
This service was performed 53 times for 53 patientsGadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
This service was performed 27,441 times for 312 patientsA limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
This service was performed 21 times for 11 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 15 times for 15 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 49 times for 26 patientsA limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
This service was performed 44 times for 25 patientsA low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
This service was performed 67 times for 34 patientsLow osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
This service was performed 10,822 times for 59 patientsLow osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
This service was performed 40,288 times for 379 patientsAn MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
This service was performed 451 times for 242 patientsAn MRI scan of the abdomen without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed pictures of your abdominal organs. This procedure doesn't involve radiation or dye injection.
This service was performed 28 times for 15 patientsAn MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
This service was performed 183 times for 106 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 132 times for 132 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 134 times for 134 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 62 times for 32 patientsAn ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
This service was performed 397 times for 210 patientsAn ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
This service was performed 211 times for 110 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 43 times for 43 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 39 times for 20 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 18 times for 18 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 31 times for 17 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 38 times for 34 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 44 times for 22 patientsAn X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.
This service was performed 30 times for 16 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 261 times for 235 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 48 times for 48 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 1,119 times for 572 patientsAn X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
This service was performed 16 times for 11 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 18 times for 11 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 18 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $26.04 for a new patient copayment and $20.74 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 11373 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $104.17
- Minimum New Patient Price $67
- Maximum New Patient Price $201.98
- Average New Patient Copayment $26.04
- Minimum New Patient Copayment $16.75
- Maximum New Patient Copayment $50.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $82.96
- Minimum Established Patient Price $21.62
- Maximum Established Patient Price $163.52
- Average Established Patient Copayment $20.74
- Minimum Established Patient Copayment $5.4
- Maximum Established Patient Copayment $40.88
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.39, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 99.39 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 81.07
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
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Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Stickles is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
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LONG ISLAND COMMUNITY HOSPITAL | 101 HOSPITAL ROAD PATCHOGUE, NY 11772 | (631) 654-7100 | Acute Care Hospitals | |
NYU LANGONE HOSPITALS | 550 FIRST AVENUE NEW YORK, NY 10016 | (212) 263-7300 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 9 | 4 | 9 | 8 | 4 | 9 | 1 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 18 | 4 | 18 | 8 | 8 | 9 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 8 + 4 + 1 + 8 + 8 + 8 + 9 + 2 + 24 = 76 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 76 = 4 | 4 |
The NPI number 1194984914 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1942258470 | DR. CRAIG J YOUNER M.D. Individual | Radiology (Diagnostic Radiology) | 8940 56TH AVE ELMHURST, NY 11373 (718) 335-5532 |
1841248689 | DR. JAY D TARTELL M.D. Individual | Radiology (Diagnostic Radiology) | 8940 56TH AVE ELMHURST, NY 11373 (718) 335-5532 |
1386692838 | DR. PETER S KRATKA M.D. Individual | Radiology (Diagnostic Radiology) | 8940 56TH AVE ELMHURST, NY 11373 (718) 335-5532 |
1750339008 | DR. BETSY JACOBS M.D. Individual | Radiology (Diagnostic Radiology) | 8940 56TH AVE ELMHURST, NY 11373 (718) 335-5532 |
1134177496 | DR. MARJORIE M STEIN M.D. Individual | Radiology (Diagnostic Radiology) | 8940 56TH AVE ELMHURST, NY 11373 (718) 335-5532 |
1063452126 | DR. MARK HJ CHOI M.D. Individual | Radiology (Diagnostic Radiology) | 8940 56TH AVE ELMHURST, NY 11373 (718) 335-5532 |
1316961105 | DR. MICHAEL RHEE M.D. Individual | Radiology (Diagnostic Radiology) | 8940 56TH AVE ELMHURST, NY 11373 (718) 335-5532 |
1326096199 | ADVANCED RADIOLOGICAL IMAGING ASSOCIATES PC Organization | Radiology (Diagnostic Radiology) | 8940 56TH AVE ELMHURST, NY 11373 (718) 335-5532 |
1437930336 | QUEENS SPINE CHIROPRACTIC PC Organization | Chiropractor | 8940 56TH AVE ELMHURST, NY 11373 (718) 587-5788 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194984914, enumerated in the NPI registry as an "individual" on June 06, 2008
The provider is located at 8940 56th Ave Elmhurst, Ny 11373 and the phone number is (718) 335-5532
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 23 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2003.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $104.17 with an average copayment of $26.04 for new patient appointments. Established patients should expect a typical charge of $82.96 and an average copayment of 20.74. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: 3d radiographic procedure, 3d radiographic procedure with computerized image postprocessing, Blood creatinine level, Complete ultrasound of abdomen and pelvis artery and vein blood flow, Complete ultrasound scan behind abdominal cavity, Complete ultrasound scan behind abdominal cavity, Complete ultrasound scan of 1 breast, Complete ultrasound scan of abdomen, Complete ultrasound scan of pelvis, Ct scan of abdomen and pelvis before and after contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of abdomen before and after contrast, Ct scan of abdominal aorta and both leg arteries with contrast, Ct scan of blood vessels of abdomen and pelvis with contrast, Ct scan of blood vessels of chest with contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of chest without contrast, Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066), Diagnostic mammography of 1 breast, Diagnostic mammography of both breasts, Injection, furosemide, up to 20 mg, Injection, gadobutrol, 0.1 ml, Limited ultrasound scan behind abdominal cavity, Limited ultrasound scan of abdomen, Limited ultrasound scan of abdomen, Limited ultrasound scan of pelvis, Low dose ct scan of chest for lung cancer screening, Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml, Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, Mri scan of abdomen before and after contrast, Mri scan of abdomen without contrast, Mri scan of pelvis before and after contrast, Screening 3d breast mammography, Screening mammography, Ultrasound of both sides of head and neck blood flow, Ultrasound scan of head and neck soft tissue, Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina, Ultrasound study of arm or leg veins with compression and maneuvers, Ultrasound study of arm or leg veins with compression and maneuvers, Ultrasound study of one arm or leg veins with compression and maneuvers, Ultrasound study of one arm or leg veins with compression and maneuvers, X-ray of abdomen, 1 view, X-ray of abdomen, 1 view, X-ray of abdomen, 2 views, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of chest, 2 views, X-ray of hand, minimum of 3 views, X-ray of knee, 4 or more views and X-ray of shoulder, minimum of 2 views.
The practitioner is affiliated to the following hospital(s): LONG ISLAND COMMUNITY HOSPITAL and NYU LANGONE HOSPITALS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 06, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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