Individual provider Active NPI

Scott J Chaffin, D.O.

  • Family Medicine Physician
  • Vashon, WA
National Provider Identifier
1205891637
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00002175 Issued in WA
Practice address
10030 SW 210TH St
Vashon, WA 98070-6584
Phone
(206) 463-3671
Fax
(206) 463-3613
NPI assigned
Apr 19, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1226 ME
Family Medicine Physician 207Q00000X 1226 ME
Family Medicine Physician 207Q00000X OP00002175 WA Primary

Addresses

Primary practice location

10030 SW 210TH St
Vashon, WA 98070-6584

Mailing address

1400 Pottery Ave
Port Orchard, WA 98366-3711
Phone (360) 895-5000

Other practice location 1

1400 Pottery Ave
Port Orchard, WA 98366-3711
Phone (360) 895-5000

Other identifiers 2

IdentifierTypeStateIssuer
2017265MedicaidWA
88677079MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, WA2 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
I20080421000435 ME Practitioner - Family Practice 8224047188 Reassigns benefits to 2 organizations
I20120921000531 WA Practitioner - Family Practice 8224047188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Osteopathy, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

789 Minot Ave
Auburn, ME 04210-3924
Phone (207) 795-8475

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1226MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Neighborcare Health CurrentSince Sep 19, 2016 Accepting new patients
Bridgton Hospital CurrentSince Apr 1, 2024 Accepting new patients
Neighborcare Health CurrentSince Sep 19, 2016 Accepting new patients
Neighborcare Health Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 12, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Bridgton Hospital CurrentSince Apr 1, 2024 Accepting new patients
Neighborcare Health Current Accepting new patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince Nov 12, 2018 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Midcoast Medicine, PA Family Medicine Past Accepting new patients

Locations

789 Minot Ave
Auburn, ME 04210
Phone (207) 795-8475

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

1400 Pottery Ave
Port Orchard, WA 98366
Phone (360) 895-5000

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

1629 N 45th St
Seattle, WA 98103
Phone (206) 548-2964

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

10030 SW 210th St
Vashon, WA 98070
Phone (206) 463-3671

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: schaffin196746@ghc.direct-ci.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1205891637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 POTTERY AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663711",
            "telephone_number": "360-895-5000",
            "fax_number": "360-895-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 SW 210TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980706584",
            "telephone_number": "206-463-3671",
            "fax_number": "206-463-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pottery Ave",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983663711",
            "country_code": "US",
            "telephone_number": "360-895-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAFFIN",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1226",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1226",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017265",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88677079",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1400 Pottery Ave",
            "city": "Port Orchard",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983663711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

Verify at the official NPI Registry.