Individual provider Active NPI

Scott Eugene Pautler, MD

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1114922366
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME40175 Issued in FL
Practice address
2705 W Saint Isabel St
Tampa, FL 33607-6319
Phone
(813) 879-5795
Fax
(813) 877-4578
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME40175 FL
Ophthalmology Physician 207W00000X ME40175 FL Primary

Addresses

Primary practice location

2705 W Saint Isabel St
Tampa, FL 33607-6319

Mailing address

12903 N 56TH St
Temple Terrace, FL 33617-1225
Phone (813) 879-5795

Other practice location 1

12903 N 56th St
Temple Terrace, FL 33617-1225
Phone (813) 987-2000

Other practice location 2

4344 Central Ave
St Petersburg, FL 33711-1141
Phone (727) 323-0077

Other identifiers 1

IdentifierTypeStateIssuer
P00283590OtherFLRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spautler@retinavitreous.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111207000256 FL Practitioner - Ophthalmology 9931135209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Florida College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pautler Cohen Findlay Eichenbaum White and Crane MDS PAGroup PAC ID 7911942123, 8 clinicians
Tampa Eye Clinic and Associates PAGroup PAC ID 8123928868, 17 clinicians

Practice addresses (Care Compare)

2705 W Saint Isabel St
Tampa, FL 33607-6319
Phone (813) 879-5795

3000 W ML King Jr Blvd
Tampa, FL 33607-6351
Phone (813) 877-2020

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
96.36 of 100Reported as apm
Quality
84.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME40175FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Eye Clinic and Associates PA Ophthalmology CurrentSince Nov 1, 2024 Accepting new patients
Pautler Cohen Findlay Eichenbaum White and Crane MDS PA Retina Specialist CurrentSince Apr 23, 1986 Accepting new patients
Pautler Cohen Findlay Eichenbaum White and Crane MDS PA Ophthalmology CurrentSince Apr 23, 1986 Accepting new patients
Pautler Cohen Findlay Eichenbaum White and Crane MDS PA Ophthalmology Past Accepting new patients

Locations

579 S Duncan Ave
Clearwater, FL 33756
Phone (727) 445-9110

5462 Grand Blvd
Ste 105
New Prt Rchy, FL 34652
Phone (631) 805-4406

4344 Central Ave
St Petersburg, FL 33711
Phone (727) 323-0077

3000 W Mlk Blvd
Tampa, FL 33607
Phone (813) 877-2020

4600 N Habana Ave
Ste 3
Tampa, FL 33614
Phone (813) 879-5795

2705 W Saint Isabel St
Tampa, FL 33607
Phone (813) 879-5795

12903 N 56th St
Temple Terrace, FL 33617
Phone (813) 987-2000

26846 Ridgebrook Dr
Wesley Chapel, FL 33544
Phone (813) 807-7779

Interoperability endpoints

  • Direct secure messaging: scott.paulter.p1@direct.tec.nextgenshare.com
  • Direct secure messaging: spautler@retinavitreous.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1114922366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171225",
            "telephone_number": "813-879-5795",
            "fax_number": "813-877-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 W SAINT ISABEL ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076319",
            "telephone_number": "813-879-5795",
            "fax_number": "813-877-4578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12903 N 56th St",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336171225",
            "country_code": "US",
            "telephone_number": "813-987-2000",
            "fax_number": "813-987-2135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4344 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337111141",
            "country_code": "US",
            "telephone_number": "727-323-0077",
            "fax_number": "727-323-7627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUTLER",
        "first_name": "SCOTT",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME40175",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME40175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00283590",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spautler@retinavitreous.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Nextech MDI Secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12903 N 56th St",
            "city": "Temple Terrace",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336171225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.