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Deactivated NPI 1629055314 Deactivated / Inactive NPI Male Practitioner

Dr. Scott G Ancel , OD

Optometrist • Shakopee, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Scott Ancel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 23, 2005
NPI Deactivation Date January 30, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Scott Ancel, OD was a registered Optometrist practicing in Shakopee, MN. Throughout an active medical career spanning 17 years, Dr. Ancel provided care at the practice location at 1415 SAINT FRANCIS AVE until profile deactivation on 2022-01-30.

Historical Medicare Part B clinical services included established patient complete exam of visual system, imaging of optic nerve, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1415 Saint Francis Ave

Shakopee, MN 553793374

Telephone 9529937750
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Shakopee, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Shakopee, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
32 32 $401.00 $128.28
92133 Imaging of optic nerve
11 11 $148.00 $34.97

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1792

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kristin Witte , DO

Family Medicine

NPI 1013118173

Doctor of Osteopathic Medicine (D.O.)

Dr. Ann O'donnell , MD

Obstetrics & Gynecology

NPI 1023067204

Doctor of Medicine (M.D.)

Bridget Holbrook , PA-C

Physician Assistant

NPI 1023490174

Physician Assistant (Certified)

Dr. Trevor Busch , MD

Family Medicine

NPI 1043297021

Doctor of Medicine (M.D.)

NPI 1043531437

Doctor of Medicine (M.D.)

Craig Stibal

Podiatrist - Primary Podiatric Medicine

NPI 1104803881

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2021

Optometrist (License #1792 in MN)

NPI Profile Active February 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 29, 2016

Registered at 1415 SAINT FRANCIS AVE, SHAKOPEE, MN 553793374 (Tel: 9529937750)

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Updated Business Mailing Address February 29, 2016

Registered at 8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 554254516 (Tel: 9529937750)

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Provider Name / Credentials Updated February 29, 2016

Recorded as SCOTT ANCEL, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2016

Optometrist (License #1792 in MN)

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Initial NPI Registration & Enumeration December 23, 2005

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: 1629055314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2005
Last Update: February 29, 2016
Deactivation Date: January 30, 2022

Mailing Address

8170 33rd Ave S, Po Box 1309 Mail Stop 21110q

Minneapolis, MN 554254516

Phone: 9529937750

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.