NPI registry status
Active
2026 NPPES data Adult Congenital Heart Disease Physician NPI 1649396235 MD
Verify on CMS → Scott Ceresnak, MD
Adult Congenital Heart Disease Physician in Palo Alto, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 114 in Adult Congenital Heart Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
MIPS score
76.5/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$218.13
5 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Scott Ceresnak, MD reported a CMS MIPS final score of 76.5/100 - below the 83.5 national average.
- 76.5/100
- MIPS score · -7 vs avg
- Likely
- board-certified (heuristic)
- ≥17th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Scott Ceresnak, MD
Federal records show an active NPI with a CMS quality score on file — objective federal reporting, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1649396235), first enumerated 03/22/2007.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 76.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$218.13 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
California statewide board action statistics are published annually — these figures describe aggregate state activity, not Scott Ceresnak, MD's individual license status. Verify directly with the state medical board.
Source: MBC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1649396235 · Adult Congenital Heart Disease Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-BELOW · BOOK-THIN · PHOTO-FINISH
- NPI-10 1649396235
- ENUM-MID 2007
- TAX-TRACE 114
- MIPS-BELOW 76.5/100
- BOOK-THIN 15 in California
- PHOTO-FINISH Brian Birnbaum, MD · ±0.8
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ceresnak · this …
Ceresnak · this provider
76.5 MIPS pts
- Brian Birnbaum, …
Brian Birnbaum, MD
77.3 MIPS pts
- Anita Saraf · near
Anita Saraf
77.5 MIPS pts
- Martin Bocks, MD…
Martin Bocks, MD
79.5 MIPS pts
- Philip Barger, M…
Philip Barger, MD
79.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Scott Ceresnak, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
✓
Board certification likely (heuristic, not verified)
Scott Ceresnak, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Scott Ceresnak, MD?
Below national averagePrimary specialty
Adult Congenital Heart Disease Physician
MIPS final score
76.5/100 7 pts vs avg
Specialty distribution in California
How Adult Congenital Heart Disease Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Scott Ceresnak, MD's 2023 MIPS final score plotted against the Adult Congenital Heart Disease Physician national average
- MIPS Final Score
- 76.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1649396235 |
|---|---|
| Specialty | Adult Congenital Heart Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/22/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.5025
Final Score
Measured-score avg: 83.5
74.3195
Quality
43.9595
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Scott Ceresnak, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Lpch Medical Group Div OF Lucile
Palo Alto, CA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Scott Ceresnak, MD. Source: openpaymentsdata.cms.gov.
Total received
$218
Largest payer
Biosense Webster, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Scott Ceresnak, MD. To verify Scott Ceresnak, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
More Adult Congenital Heart Disease Physician in CA →
All providers in California →
Compare specialties →
Adult Congenital Heart Disease Physician Overview
How Scott Ceresnak, MD fits within the Adult Congenital Heart Disease Physician landscape nationally.
114
Adult Congenital Heart Disease Physician Providers in US
32
States with Adult Congenital Heart Disease Physician
1,792
Avg Claims per Provider
Nationwide Adult Congenital Heart Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ceresnak, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76.5 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Congenital Heart Disease Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Ceresnak.
One of 15 Adult Congenital Heart Disease Physician providers enrolled in California, 5 are shown here.
Dr. Joseph Bayne
M.D.
San Francisco, CA
Dr. Daniel Clark
MD
Stanford, CA
Dr. Daniel Cortez
MD, PHD
Sacramento, CA
Dr. Anne Dubin
MD
Palo Alto, CA
Tripti Gupta
San Diego, CA
Compare Adult Congenital Heart Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Scott Ceresnak, MD's specialty? ▼
Scott Ceresnak, MD specializes in Adult Congenital Heart Disease Physician and practices in Palo Alto, California. Credentials: MD.
What is Scott Ceresnak, MD's Medicare quality score? ▼
Scott Ceresnak, MD has a CMS MIPS Final Score of 76.5/100 (Quality: 74.3, Cost: 44). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Scott Ceresnak, MD located? ▼
Scott Ceresnak, MD is located at 725 WELCH RD, Palo Alto, CA, 94304. Phone: (650) 497-8000.
What is Scott Ceresnak, MD's NPI number? ▼
Scott Ceresnak, MD's National Provider Identifier (NPI) is 1649396235, issued on 03/22/2007.
How many Adult Congenital Heart Disease Physician providers are there in the US? ▼
There are 114 Adult Congenital Heart Disease Physician providers across 32 states in the US. The average Adult Congenital Heart Disease Physician provider writes 1,792 Medicare Part D claims per year.
Does Scott Ceresnak, MD accept Medicare? ▼
Scott Ceresnak, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Scott Ceresnak, MD's credentials? ▼
Scott Ceresnak, MD's NPI is 1649396235 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.