Scott Smukalla, M.D.
NPI 1821380726 · Gastroenterology Physician · New York, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Smukalla, M.D. is a Gastroenterology Physician provider in New York, NY (NPI 1821380726).
Provider details
- NPI number
- 1821380726
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 267953 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
859 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 180 | $86 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 163 | $188 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 111 | $142 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 88 | $100 |
| Test for Tone and Sensation of Rectum and Anus91120 | 64 | $572 |
| Study of Rectum Sensitivity and Function91122 | 64 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 129 | 40 |
| Linaclotidebrand: Linzess | 91 | 26 |
| Pantoprazole Sodium | 54 | 16 |
| Prucalopride Succinatebrand: Motegrity | 47 | — |
| Lubiprostone | 37 | — |
| Famotidine | 25 | — |
| Plecanatidebrand: Trulance | 24 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 550 1st AveNew York, NY 10016-6402Phone: (212) 263-5506
Registry dates
- Enumerated
- 2011-05-10
- Last updated
- 2021-04-02
- Certified
- 2021-04-02
Frequently asked questions
- What is Scott Smukalla's NPI number?
- Scott Smukalla's National Provider Identifier (NPI) is 1821380726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Smukalla's specialty?
- Scott Smukalla is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Smukalla located?
- Scott Smukalla's practice location on file with NPPES is 555 Madison Ave Fl 2, New York, NY 10022-3418.
- What is Scott Smukalla's phone number?
- The practice phone number listed in the NPPES registry for Scott Smukalla is (646) 754-2000.
- Does Scott Smukalla accept Medicare?
- Scott Smukalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Smukalla's NPI active?
- Yes — Scott Smukalla's NPI (1821380726) is active in the NPPES registry as of the last update on 2021-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.