Individual provider Active NPI

Scott Mitchell Beairsto, D.P.M.

  • Podiatrist
  • Lafayette, LA
National Provider Identifier
1821056128
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD319R Issued in LA
Practice address
205 Bonaire Dr
Lafayette, LA 70506-6827
Phone
(504) 889-0347
Fax
(504) 779-9741
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD319R LA Primary

Addresses

Primary practice location

205 Bonaire Dr
Lafayette, LA 70506-6827

Mailing address

205 Bonaire Dr
Lafayette, LA 70506-6827
Phone (337) 337-9089

Other identifiers 2

IdentifierTypeStateIssuer
P00336354OtherLARRMCARE PIN #
1715441MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060728000222 LA Practitioner - Podiatry 6507879046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2500 E Simcoe St
Lafayette, LA 70501-6413
Phone (337) 371-9089

Merit-based Incentive Payment System (MIPS)

Final score
55 of 100Reported as individual
Quality
90
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue5227
Removal or shaving of skin growth869

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.

State licenses

LicenseStateTypeSpecialty
PD319RLAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Podiatry Services Inc Podiatrist CurrentSince May 1, 2006 Accepting new patients
Chattanooga Podiatry Center, PC Past Accepting new patients
Chattanooga Podiatry Center, PC Past Accepting new patients

Locations

2500 E Simcoe St
Lafayette, LA 70501
Phone (337) 233-7115

903 Center St
Lafayette, LA 70501
Phone (225) 272-9339

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1821056128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BONAIRE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066827",
            "telephone_number": "337-337-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BONAIRE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066827",
            "telephone_number": "504-889-0347",
            "fax_number": "504-779-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAIRSTO",
        "first_name": "SCOTT",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD319R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE PIN #",
            "identifier": "P00336354",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715441",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.