Individual provider Active NPI

Scott A Gasiorek, M.D.

  • Radiation Oncology Physician
  • Sebring, FL
National Provider Identifier
1194790253
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME 44463 Issued in FL
Practice address
3650 Emergency LN
Sebring, FL 33870-5534
Phone
(863) 382-8811
Fax
(863) 382-6055
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME 44463 FL Primary

Addresses

Primary practice location

3650 Emergency LN
Sebring, FL 33870-5534

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342

Other practice location 1

2107 SE Ocean Blvd
Stuart, FL 34996-3305
Phone (772) 403-2390

Other identifiers 9

IdentifierTypeStateIssuer
43103OtherFLBCBS
P938830OtherFLOPTIMUM
P997942OtherFLFREEDOM
1249228OtherFLWELLCARE
1613633OtherFLCIGNA
4224437OtherFLAETNA
044174100MedicaidFL
337674OtherFLAVMED
P01572579OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070905000363 FL Practitioner - Radiation Oncology 6305939513 Reassigns benefits to 2 organizations
I20170111001759 NC Practitioner - Radiation Oncology 6305939513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Georgia School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tim R Williams MD PAGroup PAC ID 2769737261, 3 clinicians
Proton International - Delray, LLCGroup PAC ID 3678811759, 4 clinicians

Practice addresses (Care Compare)

5280 Linton Blvd
Delray Beach, FL 33484-6516
Phone (561) 323-6498

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 44463FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tim R Williams MD PA Radiation Oncology CurrentSince Oct 21, 2019 Accepting new patients
Proton International - Delray, LLC Radiation Oncology CurrentSince Oct 1, 2019 Accepting new patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Feb 1, 2017 Accepting new patients
Associates in Radiation Oncology Services Past Accepting new patients
Treasure Coast Radiation Oncology PA Radiation Oncology PastSince Apr 1, 2007 Accepting new patients

Locations

5280 Linton Blvd
Ste B
Delray Beach, FL 33484

5280 Linton Blvd
Delray Beach, FL 33484
Phone (561) 323-6498

5280 Linton Blvd
Ste A
Delray Beach, FL 33484

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1194790253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 EMERGENCY LN",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705534",
            "telephone_number": "863-382-8811",
            "fax_number": "863-382-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 SE Ocean Blvd",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349963305",
            "country_code": "US",
            "telephone_number": "772-403-2390",
            "fax_number": "772-403-2395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASIOREK",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME 44463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43103",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P938830",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P997942",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1249228",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1613633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4224437",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044174100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "337674",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01572579",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.