Scott Ryan Dalton, D.O.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

M9238 Issued in TX

Practice address

2200 Bergquist Dr
Suite 1
Lackland Afb, TX 78236

Phone

(415) 264-4136

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

PathologyAlso: Dermatology

Education

Lake Erie College of Osteopathic Medicine, Erie, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sagis PLLCGroup PAC ID 3274797212, 27 clinicians

Stephen Miller MD PAGroup PAC ID 6800837659, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.56 of 100Reported as group

Quality

85.37

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

98.99 of 100Reported as individual

Quality

97.98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scdalton@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sagis, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1548549066
  Medicare reassignment Care Compare group NPD
• Stephen Miller MD PA

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1073584421
  Medicare reassignment Care Compare group NPD
• Alliance Pathology Consultants PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Kingwood, TX
  • NPI 1699707943
  Medicare reassignment NPD
• J S Wilkenfeld MD & Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1871630509
  Medicare reassignment NPD
• University of Texas Health Science Center at San Antonio

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment NPD
• Clear Lake Pathology Partners LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1881757458
  NPD
• Houston Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Huntsville, TX
  • NPI 1952385676
  NPD
• Sagis PLLC

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1659031433
  NPD
• The University of Texas Health Science Center at San Antonio

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD
• University of Texas Health Science Center at San Antonio

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1760424873
  NPD
• Karis McCarroll MD PA

  • Specialist
  • San Antonio, TX
  • NPI 1518268747
  NPD (past)
• Wilkenfeld Medical Laboratories, I, LTD.

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1437296175
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1497725576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "SUITE 1",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "415-264-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "SUITE 1",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "415-264-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "SCOTT",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M9238",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "M9238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "400786602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY",
            "identifier": "1497725576",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400786601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Cosimi, MD
• Chantal Cousineau-Krieger, M.D.
• William John Craig
• Marcus Milo Cranston, MD
• Katrina Crowell, FNP
• Jeffrey Carl Darius, CRNA
• Alejandro Davila, C.R.N.A.
• Logan Jay Davis, PT, DPT
• Judith Delmar, MD
• Jamie Lynn Deluca-King, AUD

• Dermatopathology Physician in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Dermatopathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.