Individual provider Active NPI

Scott Arthur Uttley, M.D.

  • Ophthalmology Physician
  • Woodbury, MN
National Provider Identifier
1104888023
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
43257 Issued in MN
Practice address
2080 Woodwinds Dr
Suite 230
Woodbury, MN 55125-2523
Phone
(651) 578-6949
Fax
(651) 578-3074
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 43257 MN Primary

Addresses

Primary practice location

2080 Woodwinds Dr
Suite 230
Woodbury, MN 55125-2523

Mailing address

2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523
Phone (651) 738-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20050422000203 MN Practitioner - Ophthalmology 7719950104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of New Mexico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Paul Eye Clinic PAGroup PAC ID 6709773823, 20 clinicians

Practice addresses (Care Compare)

1215 Town Centre Dr
Suite 100
Eagan, MN 55123-1356
Phone (651) 454-2526

1675 Beam Ave
Suite 100
Maplewood, MN 55109-1478
Phone (651) 770-2904

2080 Woodwinds Dr
Suite 230
Woodbury, MN 55125-2539
Phone (651) 578-6949

Merit-based Incentive Payment System (MIPS)

Final score
88.92 of 100Reported as group
Quality
89.37
Promoting interoperability
100
Improvement activities
40
Cost
73.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Eye Clinic PA CurrentSince Aug 1, 2001 Accepting new patients
St Paul Eye Clinic PA CurrentSince Aug 1, 2001 Accepting new patients

Locations

1215 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (651) 454-2526

1675 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 227-6634

2680 Snelling Ave N
Ste 110
Roseville, MN 55113
Phone (651) 631-2922

1093 Grand Ave
Saint Paul, MN 55105
Phone (651) 222-7343

5945 Norwich Ave N
Stillwater, MN 55082
Phone (651) 351-2038

2080 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 642-9199

2080 Woodwinds Dr
Ste 110
Woodbury, MN 55125
Phone (651) 738-6500

2080 Woodwinds Dr
Ste 230
Woodbury, MN 55125
Phone (651) 578-6949

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104888023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252523",
            "telephone_number": "651-738-6800",
            "fax_number": "651-738-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR",
            "address_2": "SUITE 230",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252523",
            "telephone_number": "651-578-6949",
            "fax_number": "651-578-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTLEY",
        "first_name": "SCOTT",
        "middle_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "43257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.