Scott Howard Deckelbaum, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

23933 Issued in NH

Practice address

248 Pleasant St Ste 2800
Concord, NH 03301-7529

Phone

(603) 415-6464

Fax

(603) 227-7576

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, CO, NH3 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 3

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Nova Southeastern College of Osteo Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Hospital Hospital, Concord, NH, CCN 300001
• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as apm

Quality

73.23

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdeckelbaum@crhc.cernerdirect.com
• Direct secure messaging: sdeckelbaum@plantation.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.

• Concord Hospital, Inc.

  • Emergency Medicine Physician
  • Concord, NH
  • NPI 1194778571
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Aurora, CO
  • NPI 1134170012
  Medicare reassignment NPD
• Water'S Edge Dermatology, LLC

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1134148992
  Medicare reassignment NPD
• Aqua Dermatology of Florida, PA

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1538270335
  Medicare reassignment
• Concord Hospital, Inc.

  • Psychiatric Hospital Unit
  • Concord, NH
  • NPI 1124070966
  NPD
• Concord Hospital, Inc.

  • General Practice Physician
  • Concord, NH
  • NPI 1801840764
  NPD
• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Castle Rock, CO
  • NPI 1811590433
  NPD
• Water'S Edge Dermatology, LLC

  • Clinical Medical Laboratory
  • Palm Beach Gardens, FL
  • NPI 1871542787
  NPD

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

• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1730100892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST STE 2800",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017529",
            "telephone_number": "603-415-6464",
            "fax_number": "603-227-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST STE 2800",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017529",
            "telephone_number": "603-415-6464",
            "fax_number": "603-227-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 N Flamingo Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281013",
            "country_code": "US",
            "telephone_number": "954-435-5100",
            "fax_number": "954-385-1533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Delaware Ave",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "120541401",
            "country_code": "US",
            "telephone_number": "518-690-0789",
            "fax_number": "518-641-0098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKELBAUM",
        "first_name": "SCOTT",
        "middle_name": "HOWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "5176",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A10789",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "235559",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS14334",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5176",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10789",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "235559-1",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "23933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02806417",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdeckelbaum@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "248 Pleasant St Ste 103",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033012588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gared Deady, LCMHC
• Mary R Deal, M.D.
• Deb Horton Counseling LLC
• Dianne Decarolis, MA
• Gena Worley Deckelbaum, O.D.
• Celeste Decker
• Jennifer Decoff, APRN
• Degange Chiropractic
• Degange Chiropractic
• Stanislav Deineka

• Dermatology Physician in Concord, NH
• Providers in Concord, NH by specialty
• Dermatology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.