Individual provider Active NPI

Scott Thomas Pattison, DPM

  • Foot & Ankle Surgery Podiatrist
  • Georgetown, TX
National Provider Identifier
1023047909
Registry record updated Sep 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1368 Issued in TX
Practice address
3201 S Austin Ave
Suite 225
Georgetown, TX 78626-7545
Phone
(512) 930-3338
Fax
(512) 930-3099
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1368 TX Primary

Addresses

Primary practice location

3201 S Austin Ave
Suite 225
Georgetown, TX 78626-7545

Mailing address

3201 S Austin Ave
Suite 225
Georgetown, TX 78626-7545
Phone (512) 930-3338

Other identifiers 2

IdentifierTypeStateIssuer
8A2741OtherTXBLUECROSS/BLUESHIELD
112181602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000797 TX Practitioner - Podiatry 7012095565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Associates of Central Texas, LLCGroup PAC ID 9931287489, 2 clinicians

Practice addresses (Care Compare)

7700 Cat Hollow Dr
Suite 102
Round Rock, TX 78681-5797
Phone (512) 733-8600

Hospital & facility affiliations

  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue202
Removal or shaving of skin growth62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1368TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Shoe, LLC Foot & Ankle Surgery CurrentSince Nov 1, 2019 Accepting new patients

Locations

7700 Cat Hollow Dr
Ste 102
Round Rock, TX 78681
Phone (512) 733-8600

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1023047909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "SUITE 225",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267545",
            "telephone_number": "512-930-3338",
            "fax_number": "512-930-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "SUITE 225",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267545",
            "telephone_number": "512-930-3338",
            "fax_number": "512-930-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTISON",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "8A2741",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112181602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.