Individual provider Active NPI

Scott Allen Vanness, D.O.

  • Orthopaedic Surgery Physician
  • Farmington, MO
National Provider Identifier
1720072754
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO116378 Issued in MO
Practice address
606 Maple Valley Dr
Farmington, MO 63640-1976
Phone
(573) 756-7779
Fax
(573) 756-6914
NPI assigned
Sep 6, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO116378 MO Primary

Addresses

Primary practice location

606 Maple Valley Dr
Farmington, MO 63640-1976

Mailing address

606 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-7779

Other identifiers 1

IdentifierTypeStateIssuer
243753613MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040601001016 MO Practitioner - Orthopedic Surgery 0840272274 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Van Ness Orthopedics and Sports Medicine IncGroup PAC ID 6406825405, 2 clinicians
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians
Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, 74 clinicians

Practice addresses (Care Compare)

606 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-7779

800 Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-7772

851 E 5TH St
Suite 108
Washington, MO 63090-3128
Phone (636) 861-7870

Hospital & facility affiliations

  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Parkland Health Center Hospital, Farmington, MO, CCN 260163

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO116378MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Surgical Specialists, LLC CurrentSince Sep 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital Orthopaedic Surgery CurrentSince Jan 1, 2016 Accepting new patients
Van Ness Orthopedics & Sports Medicine Inc Orthopaedic Surgery CurrentSince Mar 28, 2000 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Jan 1, 2016 Accepting new patients
Midwest Imaging Center II, LLC Past Accepting new patients
Midwest Imaging Center, LLC Past Accepting new patients

Locations

606 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-7779

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

Interoperability endpoints

  • Direct secure messaging: scottvanness@mhccaremail.com

Organizations & group practices 8

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 3

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1720072754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-7779",
            "fax_number": "573-756-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-7779",
            "fax_number": "573-756-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNESS",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "DO116378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243753613",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.