Scott David McClellan, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

200000539 Issued in NC

Practice address

2115 Neuse Blvd
New Bern, NC 28560-4309

Phone

(252) 633-4461

Fax

(252) 633-6016

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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 NC

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

DermatologyAlso: Pathology

Education

Ohio State University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Coastal Carolina PAGroup PAC ID 1658375092, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

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 and National Provider Directory roles.

• Dermatology Associates of Coastal Carolina, PA

  • Dermatopathology Physician
  • New Bern, NC
  • NPI 1619903176
  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Coastal Carolina

  • Clinical & Laboratory Dermatological Immunology Physician
  • Jacksonville, NC
  • NPI 1033459011
  NPD
• Pathology Sciences Medical Group, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Norfolk, VA
  • NPI 1366499733
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carolinaeast Medical Center

  • General Acute Care Hospital
  • New Bern, NC
  • NPI 1801852835
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1609961853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890283",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890283",
            "telephone_number": "252-672-7745",
            "fax_number": "252-635-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604309",
            "telephone_number": "252-633-4461",
            "fax_number": "252-633-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NC",
            "license": "200000539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00375320",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "14379",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie V McCarter
• McCarthy Square Pharmacy LLC
• McCarthy Square Pharmacy, LLC
• Tiffany Danielle McCarthy, MS, OTR/L
• Abigail McClellan
• Laura Tracy McDaniel, PT
• Keshay McDonald
• Shannel Christina McDorman
• McDuffie & Associates, Inc
• Naasha McGann, LMBT

• Dermatopathology Physician in New Bern, NC
• Providers in New Bern, NC by specialty
• Dermatopathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.