Individual provider Active NPI

Scott D Allen, MD

  • Ophthalmology Physician
  • Farmington, NM
National Provider Identifier
1275590754
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
95-172 Issued in NM
Practice address
2300 E 30TH St
Ste 105
Farmington, NM 87401-8990
Phone
(505) 327-0406
Fax
(505) 326-4691
NPI assigned
Apr 27, 2006
Last updated
May 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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 95-172 NM Primary

Addresses

Primary practice location

2300 E 30TH St
Ste 105
Farmington, NM 87401-8990

Mailing address

2300 E 30TH St
Ste 105
Farmington, NM 87401-8990
Phone (505) 327-0406

Other identifiers 7

IdentifierTypeStateIssuer
3441OtherNMLOVELACE
201000176OtherNMPRESBYTERIAN HEALTH PLAN
NM003476OtherNMBCBS #
T9815MedicaidNM
180038671OtherNMRAILROAD MEDICARE
8504657687401A003WESOtherNMTRICARE #
PROVP11233OtherNMMOLINA SALUD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20091124000553 NM Practitioner - Ophthalmology 2365471844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Eye Consultants PLLCGroup PAC ID 5991118606, 8 clinicians

Practice addresses (Care Compare)

2300 E 30TH St
Suite N 105
Farmington, NM 87401-8990
Phone (970) 828-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery533
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Retina Consultants PC Ophthalmology PastSince Jul 12, 1995 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1275590754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST",
            "address_2": "STE 105",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-0406",
            "fax_number": "505-326-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST",
            "address_2": "STE 105",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-0406",
            "fax_number": "505-326-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SCOTT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "95-172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "3441",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201000176",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "NM003476",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T9815",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180038671",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE #",
            "identifier": "8504657687401A003WES",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA SALUD",
            "identifier": "PROVP11233",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.