Active NPI
Scott Casey McCuskey, M.D.
- Orthopaedic Surgery Physician
- Madison, IN
National Provider Identifier
1841229846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01049529
- Practice address
- 1373 E State Road 62
Madison, IN 47250-7328 - Phone
- (812) 801-0848
- Fax
- (812) 801-0773
- NPI assigned
- Jul 2, 2006
- Last updated
- Apr 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01049529 | IN | Primary |
Addresses
Primary practice location
1373 E State Road 62
Madison, IN 47250-7328
Mailing address
PO Box 189
Madison, IN 47250-0189
Phone (812) 801-0848
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1084621 | Other | PASSPORT KY MEDICAID | |
| 200034110 | Other | MEDICARE RAILROAD | |
| 200194530A | Medicaid | IN | |
| 64799604 | Medicaid | KY | |
| 000000111701 | Other | IN | ANTHEM BCBS |
| 2435685000 | Other | KY | PASSPORT ADVANTAGE |
| 4082034 | Other | AETNA | |
| 410814P | Other | IN | SIHO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049529 | IN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1841229846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "MADISON",
"state": "IN",
"postal_code": "472500189",
"telephone_number": "812-801-0848",
"fax_number": "812-801-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1373 E STATE ROAD 62",
"city": "MADISON",
"state": "IN",
"postal_code": "472507328",
"telephone_number": "812-801-0848",
"fax_number": "812-801-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUSKEY",
"first_name": "SCOTT",
"middle_name": "CASEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01049529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT KY MEDICAID",
"identifier": "1084621",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200034110",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200194530A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64799604",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000111701",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2435685000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4082034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "410814P",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.