Individual provider Active NPI

Scott Walton, M.D.

  • Otolaryngology Physician
  • Fort Gordon, GA
National Provider Identifier
1073970091
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
89391 Issued in GA
Practice address
300 E Hospital Rd
Ft. Gordon, GA 30905-5650
Phone
(801) 400-5439
NPI assigned
Jan 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 89391 GA Primary

Addresses

Primary practice location

300 E Hospital Rd
Ft. Gordon, GA 30905-5650

Mailing address

300 E Hospital Rd
Fort Gordon, GA 30905-5650
Phone (801) 400-5439

Other practice location 1

960 E Walnut Lawn St Ste 102
Springfield, MO 65807-7865
Phone (417) 875-3000

Other identifiers 1

IdentifierTypeStateIssuer
200108871MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Scott.k.Walton.mil@mail.mil Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MO2 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
I20220421000448 GA Practitioner - Otolaryngology 8426445412 Reassigns benefits to 1 organization
I20220503000938 MO Practitioner - Otolaryngology 8426445412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical Branch at Galveston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians
Augusta ENT PCGroup PAC ID 9537156484, 24 clinicians

Practice addresses (Care Compare)

1001 E Primrose
Springfield, MO 65807-5155

1001 E Primrose St
Springfield, MO 65807-5155

340 N Belair Rd
Evans, GA 30809-3000
Phone (706) 868-5676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
64.73
Promoting interoperability
100
Improvement activities
40
Cost
76.1

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89391GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta ENT PC Otolaryngology CurrentSince Apr 13, 2022 Accepting new patients
Augusta ENT PC CurrentSince Apr 13, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince May 23, 2022 Accepting new patients
Ozarks Medical Center Otolaryngology Past Accepting new patients

Locations

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

720 Saint Sebastian Way
Ste 201
Augusta, GA 30901
Phone (478) 746-7577

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

4975 Gateway Blvd
Grovetown, GA 30813

804 Scott Nixon Memorial Dr
Martinez, GA 30907

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

960 E Walnut Lawn St
Ste 102
Springfield, MO 65807
Phone (417) 875-3600

Organizations & group practices 4

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

Hospital & facility affiliations 5

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1073970091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "801-400-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL RD",
            "city": "FT. GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "801-400-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 E Walnut Lawn St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077865",
            "country_code": "US",
            "telephone_number": "417-875-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "89391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200108871",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Scott.k.Walton.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 E Hospital Rd",
            "city": "Ft. Gordon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309055650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Gordon, GA

Sources for this page

Verify at the official NPI Registry.