Scott Lewis Michener, MD
Individual provider Active NPI Urology Physician · Lawton, OK
NPI 1497743405 · NPPES record last updated Jul 10, 2010
Key facts
- NPI
- 1497743405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 19658 (OK)
- Practice address
- 3201 W Gore Blvd
Suite 201
Lawton, OK 73505 - Phone
- (580) 357-2261
- Fax
- (580) 357-2263
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Oklahoma College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comanche County Healthcare Corporation
Practice addresses (Care Compare)
3201 W Gore Blvd
Suite 201
Lawton, OK 73505-6350
Phone (580) 357-2261
Hospital & facility affiliations
- Memorial Health
- Jackson County Memorial Hospital Authority
- Duncan Regional Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040723000199 | OK | Practitioner - Urology |
6709866353 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000 | OK | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current |
Accepting new patients | |
| Comanche County Healthcare | Current |
Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients | |
| Comanche County Healthcare | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
Interoperability endpoints
- scott.michener@mmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 19658 | OK | Yes |
Addresses
Primary practice location
3201 W Gore Blvd
Suite 201
Lawton, OK 73505
Mailing address
PO Box 785
Lawton, OK 73502
Phone (580) 357-9984
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0915990004 | Other | OK | MEDICARE PTAN |
| P00263322 | Other | OK | RAILROAD MEDICARE |
| 100137220A | Medicaid | OK |
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.