ROBERT R JR. SCIULLI (PA-C) – Physician Assistant, NPI 1033154398

ROBERT R JR. SCIULLI (PA-C) is a healthcare provider. based in Hixson, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1604 (TN). The NPI Number for ROBERT R JR. SCIULLI (PA-C) is 1033154398

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT R JR. SCIULLI (PA-C)
NPI
1033154398
Phone
(423) 308-0280
Address
4976 ALPHA LN
Enumeration Date
19 June 2006
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236980850
Graduation Year
1989 (37 years ago)
PAC ID
3870494313
Group Practice PAC ID
1355253659
Professional Enrollment ID
I20081014000484
Address ID
TN373632205OO4957XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for ROBERT R JR. SCIULLI (PA-C)

  • 4976 ALPHA LN

    HIXSON, TN 373435470

    Phone: (423) 308-0280

    Fax: (423) 954-9019

    Type: Mailing

  • 4957 SWINYAR DR STE 101

    OOLTEWAH, TN 373632205

    Phone: (423) 362-7777

    Type: Location

  • 862 Callen Ln NW Ste 110

    Cleveland, TN 373127020

    Phone: (423) 331-5025

    Type: Location

  • 281 N Lyerly St Ste 200

    Chattanooga, TN 374042749

    Phone: (423) 698-0850

    Fax: (423) 698-0511

    Type: Location

  • 171, Baylor School Road, Duncan Hills, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37405, United States

    CHATTANOOGA, TN 374052506

    Phone: (423) 308-0280

    Fax: (423) 308-0281

    Type: Location

  • 281 N LYERLY ST STE 200

    CHATTANOOGA, TN 374042749

    Phone: (423) 698-0850

    Fax: (423) 698-0511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $2,606.

Total Amount is formed as General ($2,606) + Research ($0) + Ownership ($0) = $2,606.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($1,387).

Total Amount

$2,606

General + Research + Ownership

Payments

61

Total payment records

General Amount

$2,606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2008-10-14

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
I20081014000484IPhysician AssistantTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37343)

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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: 1355253659View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Anesthesiology, Pain Management, AnesthesiologyWA
Nurse PractitionerTN
Nurse PractitionerTN
Pain ManagementTN
-TN
A N E S T H E S I O L O G YTN
Interventional Pain Management, AnesthesiologyTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do I look up ROBERT R JR. SCIULLI (PA-C) by NPI?
Use NPI 1033154398 when you need to reference ROBERT R JR. SCIULLI (PA-C) in forms, claims, or directories.
Is ROBERT R JR. SCIULLI (PA-C)'s NPI currently valid?
The extract we use shows ROBERT R JR. SCIULLI (PA-C) as active.
Does ROBERT R JR. SCIULLI (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for ROBERT R JR. SCIULLI (PA-C). Clinical services aligned with this taxonomy classification.
Where is ROBERT R JR. SCIULLI (PA-C)'s primary listing?
We display Hixson, Tennessee because that is what the record indicates for ROBERT R JR. SCIULLI (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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