Individual provider Active NPI

Jason Matthew Scopp, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Salisbury, MD
National Provider Identifier
1417023326
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
D0059913 Issued in MD
Practice address
1675 Woodbrooke Drive
Salisbury, MD 21804
Phone
(410) 749-4154
Fax
(410) 860-9583
NPI assigned
Nov 24, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X D0059913 MD Primary

Addresses

Primary practice location

1675 Woodbrooke Drive
Salisbury, MD 21804

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 749-4154

Other identifiers 7

IdentifierTypeStateIssuer
402542300MedicaidMD
1000036052MedicaidDE
221921800OtherUS DEPARTMENT OF LABOR
62010301H524PEOtherBCBS TRAD PRODUCTS
0012W409OtherBCBS PROD FEP BLUE CHOICE
2104806OtherMDMDIPA OPTIMUM CHOICE
3254208OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20101108000468 MD Practitioner - Orthopedic Surgery 5294802534 Reassigns benefits to 1 organization
I20141202001477 DE Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 5294802534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Orthopaedic Assoc PAGroup PAC ID 6406844406, 56 clinicians
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 749-4154

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

30265 Commerce Dr
Millsboro, DE 19966-3594

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopaedic Assoc., PA Sports Medicine CurrentSince Oct 20, 2014 Accepting new patients
Deer Pointe Surgical Center, LLC CurrentSince Mar 17, 2010 Accepting new patients
Peninsula Orthopaedic Assoc., PA Current Accepting new patients
Peninsula Orthopaedic Assoc, PA Sports Medicine CurrentSince Aug 1, 2003 Accepting new patients
Peninsula Orthopaedic Assoc PA CurrentSince Aug 1, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

30265 Commerce Dr
Unit 104
Millsboro, DE 19966
Phone (302) 629-4787

11 Fallon Ave
Seaford, DE 19973

314 Franklin Ave
Ste 502
Berlin, MD 21811
Phone (410) 641-0202

11107 Cathage Rd
Unit 101
Ocean Pines, MD 21811
Phone (410) 641-0202

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

1675 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 860-4514

641 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 341-9002

Organizations & group practices 7

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 3

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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1417023326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WOODBROOKE DRIVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOPP",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MD",
            "license": "D0059913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402542300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036052",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "221921800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TRAD PRODUCTS",
            "identifier": "62010301H524PE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROD FEP BLUE CHOICE",
            "identifier": "0012W409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA OPTIMUM CHOICE",
            "identifier": "2104806",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3254208",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.