Active NPI 1194947325 Individual Practitioner Male Practitioner

Scott L. Dack , MPAS, ATC, PA-C

Physician Assistant • Alexandria, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Scott Dack, MPAS, ATC, PA-C is a certified Physician Assistant practicing in Alexandria, MN. With approximately 19 years of clinical experience since completing medical education in 2007, Scott Dack delivers high-quality medical care to the local community at 610 30TH AVE W.

Scott Dack is affiliated with Alomere Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

610 30th Ave W

Alexandria, MN 563083426

Telephone 3207632540

Fax 3207632540

Associated Practice Facility / Clinic

🏢 Lake Region Eye Center Facility NPI 1528066651

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Alexandria, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +3.7 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Alexandria, MN (4026 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dack (19 Years) 19 Yrs

Alexandria Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	160	$231.51	$78.13
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	163	103	$34.00	$13.33
99213 Established patient office or other outpatient visit, typically 15 minutes	150	126	$125.00	$53.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$142.00	$106.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$39.00	$28.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	147	$222.00	$79.59
99213 Established patient office or other outpatient visit, typically 15 minutes	169	132	$120.73	$53.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$142.00	$107.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$41.00	$28.80
99442 Telephone medical discussion with physician, 11-20 minutes	14	12	$245.00	$53.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$324.00	$108.17
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$150.00	$28.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	139	$207.00	$81.26
99213 Established patient office or other outpatient visit, typically 15 minutes	137	109	$111.81	$55.11
99442 Telephone medical discussion with physician, 11-20 minutes	60	58	$170.90	$55.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$142.00	$109.75
99441 Telephone medical discussion with physician, 5-10 minutes	47	44	$121.40	$29.40
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$143.00	$110.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$41.00	$29.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	123	$167.68	$82.82
99213 Established patient office or other outpatient visit, typically 15 minutes	166	140	$79.94	$56.38
99442 Telephone medical discussion with physician, 11-20 minutes	99	96	$74.00	$55.99
99441 Telephone medical discussion with physician, 5-10 minutes	74	71	$38.00	$30.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$124.00	$111.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$42.27	$26.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$164.00	$69.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	181	148	$71.61	$42.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	85	$158.11	$66.16
99442 Telephone medical discussion with physician, 11-20 minutes	50	47	$76.00	$43.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$124.00	$98.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$32.21	$21.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	196	$158.41	$64.98
99213 Established patient office or other outpatient visit, typically 15 minutes	250	209	$71.64	$41.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	33	$26.00	$21.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$123.57	$97.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$157.60	$62.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$252.23	$91.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	126	$155.94	$65.14
99213 Established patient office or other outpatient visit, typically 15 minutes	119	95	$70.69	$42.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	32	$32.34	$21.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$243.33	$92.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	110	$171.38	$69.95
99213 Established patient office or other outpatient visit, typically 15 minutes	110	93	$93.44	$46.11
36415 Insertion of needle into vein for collection of blood sample	26	21	$14.45	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$35.28	$22.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$256.17	$96.27

Medical Specialties & State Licenses

CMS Verified: 2024-10-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 10290

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Alomere Health

610 30th Ave W, Alexandria, MN 563083426

Phone: 3207635123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Rachel Arickx , FNP-C

Nurse Practitioner - Family

NPI 1144867318

Family Nurse Practitioner (Certified)

Heather Scholl , FNP

Nurse Practitioner

NPI 1184650533

Family Nurse Practitioner

Dr. Skyler Dahlseng , DO

Internal Medicine

NPI 1205365830

Doctor of Osteopathic Medicine (D.O.)

Dr. Brielle Swanstrom , MD

Pediatrics

NPI 1225492739

Doctor of Medicine (M.D.)

Dr. Shan Flatt , MD

Family Medicine

NPI 1265728026

Doctor of Medicine (M.D.)

Maxwell Berscheit , NP-C

Nurse Practitioner - Adult Health

NPI 1306315486

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address October 28, 2024

Registered at 610 30TH AVE W, ALEXANDRIA, MN 563083426 (Tel: 3207635123)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Physician Assistant (License #10290 in MN)

📍

Updated Practice Location December 14, 2020

Registered at 610 30TH AVE W, ALEXANDRIA, MN 563083426 (Tel: 3207632540)

✅

NPI Profile Active October 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2011

Registered at 3366 OAKDALE AVE N, SUITE 103, ROBBINSDALE, MN 554222948 (Tel: 7635207870)

📍

Updated Business Mailing Address October 06, 2011

Registered at 6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 554261728 (Tel: 9525125600)

👤

Provider Name / Credentials Updated October 06, 2011

Recorded as SCOTT DACK, MPAS/ATC/PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2011

Specialist/Technologist (License #1773 in MN)

🟢

Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194947325

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 03, 2007

Last Update: October 28, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

610 30th Ave W

Alexandria, MN 563083426

Phone: 3207635123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.