SCOTT S PATRICK (MD) – Anesthesiology Physician, NPI 1104926930

SCOTT S PATRICK (MD) is a healthcare provider. based in Sacramento, California. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. A65796 (CA). The NPI Number for SCOTT S PATRICK (MD) is 1104926930

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT S PATRICK (MD)
NPI
1104926930
Phone
(800) 470-0071
Address
10470 OLD PLACERVILLE RD
Enumeration Date
22 September 2006
Last Update Date
26 February 2015

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2093343411
Graduation Year
1996 (30 years ago)
PAC ID
4587617667
Group Practice PAC ID
3678897915
Professional Enrollment ID
I20050301000512
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SCOTT S PATRICK (MD)

  • 10470, Old Placerville Road, Mather, Rancho Cordova, Sacramento County, California, 95827, United States

    ST 100

    SACRAMENTO, CA 958272539

    Phone: (800) 470-0071

    Type: Mailing

  • 2000 SUTTER PL

    DAVIS, CA 956166201

    Phone: (530) 757-5151

    Fax: (530) 750-7206

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Biosense Webster, Inc. ($34).

Total Amount

$75

General + Research + Ownership

Payments

3

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050301000512IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00145Anesthesia for retinal surgery3231$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 95827)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678897915View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
-CA
Certified Registered Nurse Anesthetist (Crna)MI
-FL
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YMI
Anesthesiology, Internal MedicineOR
-CA

Reviews

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Frequently asked questions

Can I verify SCOTT S PATRICK (MD) with an NPI only?
You can start verification with NPI 1104926930 for SCOTT S PATRICK (MD), then check state licensing separately.
Is SCOTT S PATRICK (MD) still practicing?
SCOTT S PATRICK (MD) is currently listed as active in the public NPI registry.
What is SCOTT S PATRICK (MD)'s specialty?
The listing groups SCOTT S PATRICK (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does SCOTT S PATRICK (MD) list a practice location?
Patients near Sacramento, California may find SCOTT S PATRICK (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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