Scott Macdonald, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9174289-1206 Issued in UT

Practice address

1760 N 200 E Ste 101
North Logan, UT 84341

Phone

(435) 787-0560

Fax

(435) 752-4673

NPI assigned

Oct 15, 2014

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springville Dermatology and Diagnostics PCGroup PAC ID 5991930406, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: smacdonalds@springvillederm.emadirect.md

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.

• Springville Dermatology & Diagnostics PC

  • Dermatopathology Physician
  • Springville, UT
  • NPI 1992144364
  Medicare reassignment Care Compare group
• Rocky Mountain Dermatology Inc

  • Dermatology Physician
  • North Logan, UT
  • NPI 1154527372
  Medicare reassignment
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  NPD (past)

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720482086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 N 200 E",
            "address_2": "STE 101",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411202",
            "telephone_number": "435-787-0560",
            "fax_number": "435-752-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 N 200 E STE 101",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-787-0560",
            "fax_number": "435-752-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9174289-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Medical Group LLC (Cache Valley Endocrine & Family Medicine)
• Logan Oral Surgery
• Low T Clinic, LLC
• Gregg R Luke, R.PH.
• Tanner Sean Lyons, DPT
• Maple Springs Management, LLC
• Scott L Matson, DMD, BS
• Nathan McClure
• Stacie Weeks Mecham, P.N.P.
• Brent Warburton Miller, MD

• Physician Assistant in North Logan, UT
• Providers in North Logan, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.