Individual provider Active NPI

Scott David Rieder, DPM

  • Podiatrist
  • Taylor, PA
National Provider Identifier
1104839018
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003760L Issued in PA
Practice address
1018 S Main St
Taylor, PA 18517-2104
Phone
(570) 562-1955
Fax
(570) 562-3436
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC-003760L PA
Podiatrist 213E00000X SC003760L PA Primary

Addresses

Primary practice location

1018 S Main St
Taylor, PA 18517-2104

Mailing address

1018 S Main St
Taylor, PA 18517-2104
Phone (570) 562-1955

Other identifiers 2

IdentifierTypeStateIssuer
0012968300003MedicaidPA
075846OtherPAFIRST PRIORITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041026000760 PA Practitioner - Podiatry 4486615028 Practice locations: Taylor, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1018 S Main St
Taylor, PA 18517-2104
Phone (570) 562-1955

Hospital & facility affiliations

  • Superior Health Services Inc Home health agency, Dupont, PA, CCN 397521
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal of nail tissue3905
Removal or shaving of skin growth2370
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-003760LPAMDPodiatrist
SC003760LPAMDPodiatrist

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1104839018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 S MAIN ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185172104",
            "telephone_number": "570-562-1955",
            "fax_number": "570-562-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 S MAIN ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185172104",
            "telephone_number": "570-562-1955",
            "fax_number": "570-562-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-003760L",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003760L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012968300003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "075846",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, PA

Sources for this page

Verify at the official NPI Registry.