Individual provider Active NPI

Scott E Adams, DPM

  • Podiatrist
  • Arroyo Grande, CA
National Provider Identifier
1609860709
Registry record updated Apr 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3834 Issued in CA
Practice address
310 S Halcyon Rd
Suite 101
Arroyo Grande, CA 93420-3872
Phone
(805) 481-0881
Fax
(805) 481-0835
NPI assigned
Sep 2, 2005
Last updated
Apr 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3834 CA Primary

Addresses

Primary practice location

310 S Halcyon Rd
Suite 101
Arroyo Grande, CA 93420-3872

Mailing address

310 S Halcyon Rd
Suite 101
Arroyo Grande, CA 93420-3872
Phone (805) 481-0881

Other identifiers 2

IdentifierTypeStateIssuer
000E38340MedicaidCA
000E38340OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20041222000739 CA Practitioner - PodiatryPractitioner - Orthopedic Surgery 0446218317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Orthopedic Surgery
Education
California School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott E Adams DPM IncGroup PAC ID 3577577733, 4 clinicians

Practice addresses (Care Compare)

310 S Halcyon Rd
Suite 101
Arroyo Grande, CA 93420-3863
Phone (805) 481-0881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as group
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue91
Removal of skin lesions1-10
Removal of nail tissue4206
Removal or shaving of skin growth1346
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3834CAMDPodiatrist
3834CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 1

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430006400000",
    "number": "1609860709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD",
            "address_2": "SUITE 101",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203872",
            "telephone_number": "805-481-0881",
            "fax_number": "805-481-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD",
            "address_2": "SUITE 101",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203872",
            "telephone_number": "805-481-0881",
            "fax_number": "805-481-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2015-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000E38340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.