Individual provider Active NPI

Robert Tyson Scott, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salem, OR
National Provider Identifier
1497918585
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP154513 Issued in OR
Practice address
800 Liberty St SE
Salem, OR 97302
Phone
(503) 370-8784
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X EL 1746 CA
Foot & Ankle Surgery Podiatrist 213ES0103X DP154513 OR Primary

Addresses

Primary practice location

800 Liberty St SE
Salem, OR 97302

Mailing address

800 Liberty St SE
Salem, OR 97302-4137
Phone (503) 370-8784

Other practice location 1

350 Miller St SE
Salem, OR 97302-4272
Phone (503) 370-8784 ext. 103

Other practice location 2

1128 NE 2nd St Ste 201
Corvallis, OR 97330-6298
Phone (541) 757-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000369 OR Practitioner - Podiatry 5597934976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R Tyson Scott DPM LLCGroup PAC ID 1759545858, 2 clinicians

Practice addresses (Care Compare)

1128 NE 2ND St
Suite 201
Corvallis, OR 97330-6298
Phone (541) 757-7100

800 Liberty St SE
Salem, OR 97302-4137
Phone (503) 370-8784

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as group
Quality
77.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue161
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL 1746CAMDFoot & Ankle Surgery Podiatrist
DP154513ORMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
R Tyson Scott DPM LLC CurrentSince May 10, 2012 Accepting new patients
Coastline Corvallis Clinic LLC Foot & Ankle Surgery CurrentSince Nov 30, 2018 Accepting new patients
Salem Health Past Accepting new patients
Richard W. Peffley, DPM, a Foot & Ankle Surgery Past Accepting new patients

Locations

1829 NW Kings Blvd
Corvallis, OR 97330
Phone (541) 752-5048

1128 NE 2nd St
Ste 201
Corvallis, OR 97330
Phone (541) 757-7100

350 Miller St SE
Salem, OR 97302
Phone (503) 370-8784

800 Liberty St SE
Salem, OR 97302
Phone (503) 370-8784

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHJDBD/Endpoint/FHJDBD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1497918585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024137",
            "telephone_number": "503-370-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-370-8784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Miller St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024272",
            "country_code": "US",
            "telephone_number": "503-370-8784 x103",
            "fax_number": "503-362-4017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1128 NE 2nd St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973306298",
            "country_code": "US",
            "telephone_number": "541-757-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ROBERT",
        "middle_name": "TYSON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL 1746",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP154513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.