NPIMap

Individual provider Active NPI

Scott M Killmer, MD

  • Surgery Physician
  • Beckley, WV
National Provider Identifier
1831196542
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17037 Issued in WV
Practice address
102 Brookshire LN
Beckley, WV 25801-6761
Phone
(304) 256-0770
Fax
(304) 256-0772
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17037 WV Primary

Addresses

Primary practice location

102 Brookshire LN
Beckley, WV 25801-6761

Mailing address

102 Brookshire LN
Beckley, WV 25801-6761
Phone (304) 256-0770

Other practice location 1

230 George St
Suite 2
Beckley, WV 25801-2620
Phone (304) 256-0770

Other identifiers 1

IdentifierTypeStateIssuer
0126467000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott.killmer.3@1572.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090911000216 WV Practitioner - General Surgery 3476520859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Association Dr
Suite 102
Charleston, WV 25311-1298

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux23
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17037OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh General Hospital LLC Surgery CurrentSince Nov 20, 2017 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 18, 2023 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 18, 2023 Accepting new patients
Oak Hill Clinic Corp CurrentSince Aug 1, 2009 Accepting new patients
Raleigh General Hospital CurrentSince Nov 20, 2017 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Beckley Area Surgical Associates PLLC Surgery Past Accepting new patients

Locations

102 Brookshire Ln
Beckley, WV 25801
Phone (304) 256-0770

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

230 George St
Ste 2
Beckley, WV 25801
Phone (304) 255-2878

1717 Harper Rd
Fl 2
Beckley, WV 25801
Phone (304) 461-3877

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

320 Jones Ave
Oak Hill, WV 25901
Phone (304) 469-2500

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Interoperability endpoints

  • Direct secure messaging: smkillme@yourcarecommunity.org
  • Direct secure messaging: scott.killmer.3@1572.direct.athenahealth.com
  • Direct secure messaging: scott.killmer@wvafn.hcadirect.net

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1831196542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016761",
            "telephone_number": "304-256-0770",
            "fax_number": "304-256-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016761",
            "telephone_number": "304-256-0770",
            "fax_number": "304-256-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 George St",
            "address_2": "SUITE 2",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012620",
            "country_code": "US",
            "telephone_number": "304-256-0770",
            "fax_number": "304-256-0772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLMER",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "17037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126467000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.killmer.3@1572.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "102 Brookshire Ln",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258016761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.