SCOTT M PASTRYK (OD) – Optometrist, NPI 1063499762

SCOTT M PASTRYK (OD) is a healthcare provider. based in Winona, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18003284A (IN). The NPI Number for SCOTT M PASTRYK (OD) is 1063499762

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT M PASTRYK (OD)
NPI
1063499762
Phone
(507) 454-3650
Address
855 MANKATO AVE
Enumeration Date
23 December 2005
Last Update Date
21 December 2011

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5074543650
Graduation Year
2004 (22 years ago)
PAC ID
6002885365
Group Practice PAC ID
8527977420
Professional Enrollment ID
I20080318000281
Address ID
MN559874868WI855XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for SCOTT M PASTRYK (OD)

  • Community Memorial Hospital, 855, Mankato Avenue, Sugarloaf, Winona, Winona County, Minnesota, 55987, United States

    WINONA, MN 559874868

    Phone: (507) 454-3650

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-03-18

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
I20080318000281IOptometryMNTBD

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
92014Established patient complete exam of visual system260260$0
99213Established patient office or other outpatient visit, 20-29 minutes163102$0
92133Imaging of optic nerve4140$0
92083Exam of visual field with extended testing4138$0
99214Established patient office or other outpatient visit, 30-39 minutes3329$0
View full utilization report →

Insurance plans in this area (ZIP 55987)

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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: 8527977420View full group profile
NameSpecialtyState
Physician AssistantMN
Cardiovascular Disease (Cardiology)IL
U R O L O G YWI
-MN
Emergency MedicineMN
Nurse PractitionerWI
Physician AssistantMN
Nurse PractitionerWI
Internal MedicineMN
Family PracticeMN

Reviews

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Frequently asked questions

What is the standard ID for SCOTT M PASTRYK (OD) in the U.S.?
In the U.S., SCOTT M PASTRYK (OD) is identified by NPI 1063499762.
Is SCOTT M PASTRYK (OD)'s NPI status active today?
Active status means SCOTT M PASTRYK (OD)'s NPI record is not deactivated in the public file.
What services align with SCOTT M PASTRYK (OD)'s listing?
SCOTT M PASTRYK (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit SCOTT M PASTRYK (OD) in Winona, Minnesota?
For routing, start with Winona, Minnesota for SCOTT M PASTRYK (OD), then verify phone and hours locally.
Who maintains SCOTT M PASTRYK (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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