Individual provider Active NPI

Scott M. Sackman, D.O.

  • Otolaryngology Physician
  • Easton, PA
National Provider Identifier
1518901958
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0S007103E Issued in PA
Practice address
4444 William Penn Hwy
Easton, PA 18045-4937
Phone
(610) 250-1933
Fax
(610) 250-8832
NPI assigned
Jun 16, 2006
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0S007103E PA Primary

Addresses

Primary practice location

4444 William Penn Hwy
Easton, PA 18045-4937

Mailing address

4444 William Penn Hwy
Easton, PA 18045-4937
Phone (610) 250-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000790 PA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9133117948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5201 William Penn Hwy
Easton, PA 18045-2969
Phone (610) 250-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S007103EPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M. Sackman DO PC Otolaryngology CurrentSince Sep 1, 2005 Accepting new patients
Suburban Multispecialty Limited, LLC PastSince Dec 3, 2018 Accepting new patients

Locations

5201 William Penn Hwy
Easton, PA 18045
Phone (610) 250-1933

5201 William Penn Hwy
Ste 1
Easton, PA 18045

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1518901958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180454937",
            "telephone_number": "610-250-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180454937",
            "telephone_number": "610-250-1933",
            "fax_number": "610-250-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKMAN",
        "first_name": "SCOTT",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "0S007103E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.