Individual provider Active NPI

Scott Michael McClintic, M.D.

  • Ophthalmology Physician
  • Salem, OR
National Provider Identifier
1033349972
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD167088 Issued in OR
Practice address
2450 12TH St SE
Salem, OR 97302-2152
Phone
(503) 371-4350
Fax
(503) 371-1124
NPI assigned
Jul 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 MD167088 OR Primary

Addresses

Primary practice location

2450 12TH St SE
Salem, OR 97302-2152

Mailing address

2450 12TH St SE
Salem, OR 97302-2152
Phone (503) 371-4350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott.mcclintic.p55@direct.wvp.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140707000449 OR Practitioner - Ophthalmology 0648495788 Reassigns benefits to 1 organization
I20161011002005 WA Practitioner - Ophthalmology 0648495788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants LLPGroup PAC ID 0941271886, 4 clinicians

Practice addresses (Care Compare)

2450 12TH St SE
Salem, OR 97302-2152
Phone (503) 371-4350

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
91.79
Promoting interoperability
87
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants, LLP Ophthalmology CurrentSince Jan 2, 2019 Accepting new patients
Teplick Laser Surgery Centers PastSince Jan 2, 2019 Accepting new patients

Locations

2815 Willetta St SW
Ste A2
Albany, OR 97321
Phone (503) 371-4350

996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878

3100 E Haworth Ave
Ste 280
Newberg, OR 97132
Phone (503) 371-4350

2450 12th St SE
Salem, OR 97302
Phone (503) 363-9286

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: scott.mcclintic.p55@direct.wvp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: smcclintic86940@direct.ohsu.edu

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.

Hospital & facility affiliations 1

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": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1033349972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022152",
            "telephone_number": "503-371-4350",
            "fax_number": "503-371-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022152",
            "telephone_number": "503-371-4350",
            "fax_number": "503-371-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTIC",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD167088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.mcclintic.p55@direct.wvp.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2450 12th St SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973022152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.