Individual provider Active NPI

Scott D Nyboer, MD

  • Physical Medicine & Rehabilitation Physician
  • Baton Rouge, LA
National Provider Identifier
1124017298
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
09701R Issued in LA
Practice address
10101 Park Rowe Ave
Suite 200
Baton Rouge, LA 70810-1686
Phone
(225) 769-2200
Fax
(225) 768-2185
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 09701R LA
Physical Medicine & Rehabilitation Physician 208100000X 09701R LA Primary

Addresses

Primary practice location

10101 Park Rowe Ave
Suite 200
Baton Rouge, LA 70810-1686

Mailing address

PO Box 98509
Baton Rouge, LA 70884-9509
Phone (225) 769-2200

Other identifiers 1

IdentifierTypeStateIssuer
1968111MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100430000656 LA Practitioner - Physical Medicine and Rehabilitation 8224091889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuromedical CenterGroup PAC ID 6103716477, 114 clinicians

Practice addresses (Care Compare)

10101 Park Rowe Ave
Suite 200
Baton Rouge, LA 70810-1685
Phone 22576922002164

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Baton Rouge, LA, CCN 197437
  • Pinnacle Home Health of Baton Rouge Home health agency, Baton Rouge, LA, CCN 197770
  • Audubon Home Health Home health agency, Baton Rouge, LA, CCN 197771
  • The Spine Hospital of Louisiana Hospital, Baton Rouge, LA, CCN 190266

Merit-based Incentive Payment System (MIPS)

Final score
94.99 of 100Reported as individual
Quality
90.9
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A10195LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromedical Center CurrentSince Jul 1, 1993 Accepting new patients
NMC Operating Company LLC Current Accepting new patients
The Neuro Medical Center Rehabilitation Hospital Past Accepting new patients

Locations

15420 S Harrells Ferry Rd
Ste D
Baton Rouge, LA 70816
Phone (225) 751-9797

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

10101 Park Rowe Ave
Ste 200
Baton Rouge, LA 70810
Phone (225) 768-2164

10101 Park Rowe Ave
Ste 500
Baton Rouge, LA 70810
Phone (225) 906-2999

728 W 11th Ave
Covington, LA 70433
Phone (985) 730-7195

1200 Pinnacle Pkwy
Ste 7
Covington, LA 70433
Phone (985) 643-4144

1325 Wright Ave
Ste F
Crowley, LA 70526
Phone (337) 783-2915

3521 Highway 190
Ste Q
Eunice, LA 70535
Phone (337) 981-4001

1004 W Highway 30
Gonzales, LA 70737
Phone (225) 647-4430

19065 Dr John Lambert Dr
Ste 2000B
Hammond, LA 70403
Phone (985) 293-2030

1810 Lindberg Dr
Ste 2200
Slidell, LA 70458

5326 Oak St
St Francisvle, LA 70775
Phone (225) 635-5848

5000 Odonavan Blvd
Ste 412
Walker, LA 70785
Phone (225) 767-7200

4920 Church St
Ste H
Zachary, LA 70791

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: scott.nyboer@direct.nmchbr.com
  • FHIR API: https://api.platform.athenahealth.com/25776/brand/1/csg/1/fhir/r4
  • Direct secure messaging: scott.nyboer.1@25776.direct.athenahealth.com

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 4

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1124017298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98509",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708849509",
            "telephone_number": "225-769-2200",
            "fax_number": "225-768-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 PARK ROWE AVE",
            "address_2": "SUITE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101686",
            "telephone_number": "225-769-2200",
            "fax_number": "225-768-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBOER",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "09701R",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "09701R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1968111",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.