ANDREW SCADUTO (MD) – Family Medicine Physician, NPI 1659367704

ANDREW SCADUTO (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. R9931 (MO). The NPI Number for ANDREW SCADUTO (MD) is 1659367704

Main info

Male
Sole Proprietor
Name
ANDREW SCADUTO (MD)
NPI
1659367704
Phone
(314) 546-5808
Address
8112 DELMAR BLVD
Enumeration Date
23 September 2005
Last Update Date
16 February 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ANDREW SCADUTO (MD)

  • Delmar Boulevard, Skinker DeBaliviere, University City, Saint Louis County, Missouri, 63124, United States

    SAINT LOUIS, MO 631303736

    Phone: (314) 546-5808

    Fax: (314) 677-6807

    Type: Location

  • PO BOX 240244

    BALLWIN, MO 630240244

    Phone: (314) 546-5808

    Fax: (314) 677-6807

    Type: Mailing

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: 2007-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (891 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20070130000686IFamily PracticeMO2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 63130)

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Reviews

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Frequently asked questions

Does ANDREW SCADUTO (MD) have a public NPI I can cite?
Public records show ANDREW SCADUTO (MD) under NPI 1659367704.
Should I treat ANDREW SCADUTO (MD) as an active provider?
Patients and plans typically see ANDREW SCADUTO (MD) as active in the national extract.
What does the directory say ANDREW SCADUTO (MD) does?
Insurance directories may phrase it differently, but here ANDREW SCADUTO (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ANDREW SCADUTO (MD) tied to Saint Louis, Missouri?
If you are local to Saint Louis, Missouri, ANDREW SCADUTO (MD) may be relevant to your search.
Can I export ANDREW SCADUTO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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