Individual provider Active NPI

Scott Reynold Philipp, M.D.

  • Surgery Physician
  • Derry, NH
National Provider Identifier
1700057312
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23249 Issued in NH
Practice address
44 Birch St Ste 200
Derry, NH 03038-2752
Phone
(603) 434-7444
NPI assigned
Mar 22, 2008
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A91399 CA
Surgery Physician 208600000X 2008014591 MO
Surgery Physician 208600000X 23249 NH Primary

Addresses

Primary practice location

44 Birch St Ste 200
Derry, NH 03038-2752

Mailing address

44 Birch St Ste 200
Derry, NH 03038-2752
Phone (603) 434-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110513000158 CA Practitioner - General Surgery 4981777687 Reassigns benefits to 1 organization
I20221212001338 NH Practitioner - General Surgery 4981777687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkland Physician Services IncGroup PAC ID 1254226517, 19 clinicians

Practice addresses (Care Compare)

44 Birch St
Suite 301
Derry, NH 03038-2752
Phone (603) 432-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.37 of 100Reported as group
Quality
81.18
Promoting interoperability
99
Improvement activities
40
Cost
81.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)16
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A91399CAMDSurgery Physician
23249NHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Surgery Current Accepting new patients
Parkland Physician Services, Inc. CurrentSince Oct 31, 2022 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 10, 2011 Accepting new patients
Permanente Medical Group Inc Surgery CurrentSince Jan 10, 2011 Accepting new patients
Parkland Physician Services Inc Past Accepting new patients
Parkland Physician Services Inc Past Accepting new patients

Locations

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

6 Tsienneto Rd
Ste 203
Derry, NH 03038
Phone (603) 434-7444

41 Buttrick Rd
Londonderry, NH 03053
Phone (603) 422-8693

44 Birch St
Ste 200
Londonderry, NH 03038
Phone (603) 421-2526

44 Birch St
Ste 301
Londonderry, NH 03038
Phone (603) 421-2427

254 N Broadway
Salem, NH 03079
Phone (603) 893-8899

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: scott.philipp@hca6.eclinicaldirectplus.com

Organizations & group practices 6

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 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": "1206144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1700057312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-434-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-434-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPP",
        "first_name": "SCOTT",
        "middle_name": "REYNOLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-22",
        "last_updated": "2022-11-11",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A91399",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2008014591",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "23249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.