Active NPI
Scott J Chaffin, D.O.
- Family Medicine Physician
- Vashon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00002175
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017265 | Medicaid | WA | |
| 88677079 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1226 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Family Medicine | Current | 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
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- 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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1144629908
-
dba Neighborcare Health at Lincoln High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
dba Neighborcare Health at Rainier Beach
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba Maine Urgent Care
- Urgent Care Clinic/Center
- Lewiston, ME
- NPI 1063136786
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.