Dwight A Scarborough, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

35045403 Issued in OH

Practice address

650 Shawan Falls Dr
Dublin, OH 43017-2100

Phone

(614) 764-1711

Fax

(614) 889-2652

NPI assigned

Aug 16, 2005

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Dermatology

Education

Loma Linda University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Dermatology and Cosmetic Surgery Center, Inc.Group PAC ID 7012993777, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.06 of 100Reported as group

Quality

75.48

Improvement activities

40

Cost

59.58

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Affiliated Dermatology & Cosmetic Surgery Center, Inc

  • Dermatology Physician
  • Dublin, OH
  • NPI 1932184090
  Medicare reassignment Care Compare group NPD Authorized official
• Affiliated Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Dublin, OH
  • NPI 1982696894
  NPD Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1457343527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SHAWAN FALLS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172100",
            "telephone_number": "614-764-1711",
            "fax_number": "614-889-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SHAWAN FALLS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172100",
            "telephone_number": "614-764-1711",
            "fax_number": "614-889-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "DWIGHT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35045403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ID",
            "identifier": "070003697",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP ID",
            "identifier": "1351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiile A Sayre, LSW/MSW
• Debbie Jo Scaggs
• Angelina Scala, CNP
• Lisa Scalambrino
• Natasha Scalia
• Christy Scavotto
• Hope Schaaf
• Chelsea Schaefer, MFN, RD, LD
• Jaydell Schaeffer
• Patrick Dennis Schaffer, DO

• Procedural Dermatology Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Procedural Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.

Verify at the official NPI Registry.