NPIMap

Individual provider Active NPI

Scott Mattoon, PA

  • Medical Physician Assistant
  • Geneva, NY
National Provider Identifier
1881758217
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
007252 Issued in NY
Practice address
875 Pre Emption Rd
Geneva, NY 14456-2042
Phone
(315) 462-2633
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0072521 NY
Medical Physician Assistant 363AM0700X 007252 NY Primary

Addresses

Primary practice location

875 Pre Emption Rd
Geneva, NY 14456-2042

Mailing address

875 Pre Emption Rd
Geneva, NY 14456-2042

Other identifiers 2

IdentifierTypeStateIssuer
P019P12657OtherBLUECHOICE
110561CUOtherPREFERRED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070420000200 NY Practitioner - Physician Assistant 6002911922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FLH Medical PCGroup PAC ID 6507922358, 47 clinicians

Practice addresses (Care Compare)

141 Central Ave
Keuka Park, NY 14478-9764
Phone (315) 279-5368

789 Pre Emption Rd
Suite 600
Geneva, NY 14456-2069
Phone (315) 781-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
85.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007252NYMDChiropractor
0072521NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 26, 2016 Accepting new patients
FLH Medical, PC CurrentSince Aug 27, 2018 Accepting new patients
Rochester General Hospital Physician Assistant CurrentSince Oct 26, 2016 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Oct 26, 2016 Accepting new patients
Rochester General Hospital CurrentSince Oct 26, 2016 Accepting new patients
Interlakes Orthopaedic Surgery,PC Past Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

430 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone (315) 462-3501

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

789 Pre Emption Rd
Ste 600
Geneva, NY 14456
Phone (315) 719-0060

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: s.mattoon@flhmedical.medentdirect.com

Organizations & group practices 7

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 4

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1881758217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562042",
            "telephone_number": "315-462-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOON",
        "first_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0072521",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "P019P12657",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "110561CU",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.