Individual provider Active NPI

Scott Arnold Glesmann, MD

  • Ophthalmology Physician
  • Bullhead City, AZ
National Provider Identifier
1770549222
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
AZ-23658 Issued in AZ
Practice address
1800 Highway 95
Bullhead City, AZ 86442-6803
Phone
(928) 763-4333
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X AZ-23658 AZ Primary

Addresses

Primary practice location

1800 Highway 95
Bullhead City, AZ 86442-6803

Mailing address

1800 Highway 95
Bullhead City, AZ 86442-6803
Phone (928) 763-4333

Other identifiers 1

IdentifierTypeStateIssuer
361709MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20071101000363 AZ Practitioner - Ophthalmology 3173502507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Medical Eye Center LLCGroup PAC ID 4284721549, 3 clinicians

Practice addresses (Care Compare)

1800 Hwy 95
Bullhead City, AZ 86442-6803
Phone (928) 763-4333

Hospital & facility affiliations

  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Merit-based Incentive Payment System (MIPS)

Final score
88.14 of 100Reported as group
Quality
77.65
Improvement activities
40
Cost
90.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AZ-23658AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Surgery Center LLC Past Accepting new patients
Western Medical Eye Center PastSince Apr 15, 1996 Accepting new patients

Organizations & group practices 3

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1770549222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426803",
            "telephone_number": "928-763-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426803",
            "telephone_number": "928-763-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLESMANN",
        "first_name": "SCOTT",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "AZ-23658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361709",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.