Individual provider Active NPI

Scott Evan Klein, DO

  • Ophthalmology Physician
  • Winter Haven, FL
National Provider Identifier
1003818261
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS 6614 Issued in FL
Practice address
215 1St St N Ste 200
Winter Haven, FL 33881-4507
Phone
(863) 294-5457
Fax
(863) 401-9398
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS 6614 FL Primary

Addresses

Primary practice location

215 1St St N Ste 200
Winter Haven, FL 33881-4507

Mailing address

215 1St St N Ste 200
Winter Haven, FL 33881-4507
Phone (863) 294-5457

Other identifiers 7

IdentifierTypeStateIssuer
0803915OtherFLUHC EVERCARE & SEC HORIZ
139494OtherFLEYEMED
0805121OtherFLUNITED HEALTHCARE
80818OtherFLBLUE CROSS BLUE SHIELD
1682897OtherFLAETNA
254752000MedicaidFL
P00455173OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071005000128 FL Practitioner - Ophthalmology 9537110960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magruder Eye Institute, PLLCGroup PAC ID 3971582024, 23 clinicians

Practice addresses (Care Compare)

1911 N Mills Ave
Orlando, FL 32803-1407
Phone (407) 893-8200

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as group
Quality
91.92
Promoting interoperability
96
Improvement activities
40
Cost
77.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 6614FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magruder Eye Institute, PLLC Ophthalmology CurrentSince Dec 5, 2023 Accepting new patients
Fischer Schemmer & Silbiger Mdpa Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients
Fischer Schemmer & Silbiger MD PA CurrentSince Jan 1, 2023 Accepting new patients

Locations

1911 N Mills Ave
Orlando, FL 32803
Phone (407) 893-8200

215 1st St N
Ste 200
Winter Haven, FL 33881
Phone (863) 294-5457

Networks

  • FL HMO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO D-SNP
  • Freedom Health HMO Network
  • FL PPO
  • FL HMO
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1003818261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 1ST ST N STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814507",
            "telephone_number": "863-294-5457",
            "fax_number": "863-401-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 1ST ST N STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814507",
            "telephone_number": "863-294-5457",
            "fax_number": "863-401-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "SCOTT",
        "middle_name": "EVAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS 6614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC EVERCARE & SEC HORIZ",
            "identifier": "0803915",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "139494",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0805121",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80818",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1682897",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254752000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00455173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.