NPIMap

Individual provider Active NPI

Scott Randall Musick, DO

  • Family Medicine Physician
  • Bentonville, AR
National Provider Identifier
1386672392
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E5005 Issued in AR
Practice address
1102 NW Lowe's Ave
Suite 2
Bentonville, AR 72712
Phone
(479) 254-8563
Fax
(479) 254-8564
NPI assigned
Jun 29, 2006
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4104 OK
Family Medicine Physician 207Q00000X E5005 AR Primary

Addresses

Primary practice location

1102 NW Lowe's Ave
Suite 2
Bentonville, AR 72712

Mailing address

1102 NW Lowe's Ave
Suite 2
Bentonville, AR 72712
Phone (479) 254-8563

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott.musick.1@2229.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000330 AR Practitioner - Family PracticePractitioner - Emergency Medicine 3072597673 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Benton County Physician Services LLCGroup PAC ID 3577503689, 36 clinicians
Healing Arts Center L.L.C.Group PAC ID 4789620261, 66 clinicians

Practice addresses (Care Compare)

101 Sun Meadow Dr
Centerton, AR 72719-9610
Phone (479) 795-0426

225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402

3902 SW Richsmith Rd
Apt 107
Bentonville, AR 72713-3055

903 SE 28TH St
Suite 7
Bentonville, AR 72712-3883
Phone (479) 366-3574

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4104OKMDGeneral Practice Dentistry
E5005ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Springs Clinic Company LLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
South Arkansas Emergency Physicians, LLP CurrentSince Jan 1, 2014 Accepting new patients
Northwest Physicians LLC CurrentSince Jul 27, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Jul 27, 2019 Accepting new patients
South Arkansas Emergency Physicians, LLP CurrentSince Jan 1, 2014 Accepting new patients
Trustt Medical PLLC Family Medicine CurrentSince May 1, 2023 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
South Arkansas Emergency Physicians LLP Current Accepting new patients
Bentonville Radiology Consultants, PLLC PastSince Jul 1, 2005 Accepting new patients

Locations

1102 NW Lowes Ave
Ste 2
Bentonville, AR 72712
Phone (479) 254-8563

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

903 SE 28th St
Ste 3
Bentonville, AR 72712
Phone (479) 366-3574

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

Interoperability endpoints

  • Direct secure messaging: scott.musick.1@2229.direct.athenahealth.com

Organizations & group practices 10

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 6

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1386672392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 NW LOWE'S AVE",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-254-8563",
            "fax_number": "479-254-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NW LOWE'S AVE",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-254-8563",
            "fax_number": "479-254-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSICK",
        "first_name": "SCOTT",
        "middle_name": "RANDALL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4104",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.musick.1@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1102 NW Lowe's Ave",
            "address_2": "Suite 2",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.