SCOT N ACKERMAN (MD) – Radiation Oncology Physician, NPI 1942205364

SCOT N ACKERMAN (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. ME52956 (FL). The NPI Number for SCOT N ACKERMAN (MD) is 1942205364

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
SCOT N ACKERMAN (MD)
NPI
1942205364
Phone
(904) 880-5522
Address
10881 SAN JOSE BLVD
Enumeration Date
14 June 2005
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042603022
Graduation Year
1984 (42 years ago)
PAC ID
1850359449
Group Practice PAC ID
3779541362
Professional Enrollment ID
I20100811000856
Address ID
FL322236612JA10881BLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

494 RADIATION ONCOLOGY in FL

Provider Addresses for SCOT N ACKERMAN (MD)

  • San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 322236612

    Phone: (904) 880-5522

    Fax: (904) 880-5533

    Type: Mailing

  • 10881 SAN JOSE BLVD

    JACKSONVILLE, FL 322236612

    Phone: (904) 880-5522

    Fax: (904) 880-5533

    Type: Location

  • 1801, Barrs Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    CANCER CENTER

    JACKSONVILLE, FL 322044732

    Phone: (904) 308-3848

    Fax: (904) 308-6024

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $6,590.

Total Amount is formed as General ($6,590) + Research ($0) + Ownership ($0) = $6,590.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: PALETTE LIFE SCIENCES, INC. ($3,651).

Total Amount

$6,590

General + Research + Ownership

Payments

16

Total payment records

General Amount

$6,590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2010-08-11

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
I20100811000856IRadiation OncologyFLTBD

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
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,24348$0
77523Intermediate proton beam radiation treatment1,13543$0
99213Established patient office or other outpatient visit, 20-29 minutes986587$0
36415Insertion of needle into vein for collection of blood sample898540$0
77336Continuing radiation therapy consultation per week669147$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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Provider's Procedures

SCOT N ACKERMAN (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYFL74177CT scan of abdomen and pelvis with contrast1713
RADIATION ONCOLOGYFL77263Management of radiation therapy, complex7676
RADIATION ONCOLOGYFL77300Calculation of radiation therapy dose608133
RADIATION ONCOLOGYFL78815Nuclear medicine study with CT imaging skull base to mid-thigh289231

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: 3779541362View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineFL
Radiation OncologyFL
U R O L O G YFL
Radiation OncologyFL
Diagnostic RadiologyFL
Radiation OncologyFL
Radiation OncologyFL

Reviews

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Frequently asked questions

Where can patients find SCOT N ACKERMAN (MD)'s NPI?
You can confirm SCOT N ACKERMAN (MD) with NPI 1942205364; it appears in the national provider directory.
Is SCOT N ACKERMAN (MD) active in the national directory?
SCOT N ACKERMAN (MD)'s public NPI profile is in an active state.
Does SCOT N ACKERMAN (MD) list a primary specialty?
If you are matching referrals, note Radiation Oncology Physician for SCOT N ACKERMAN (MD). Clinical services aligned with this taxonomy classification.
Where is SCOT N ACKERMAN (MD)'s primary listing?
We display Jacksonville, Florida because that is what the record indicates for SCOT N ACKERMAN (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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