Individual provider Active NPI

Charles L Scott, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Harrisburg, PA
National Provider Identifier
1932183993
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
OS017407 Issued in PA
Practice address
100 S 2ND St
Harrisburg, PA 17101-2515
Phone
(843) 467-2676
Fax
(843) 497-9566
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2007-01573 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OS017407 PA Primary

Addresses

Primary practice location

100 S 2ND St
Harrisburg, PA 17101-2515

Mailing address

PO Box 536003
Pittsburgh, PA 15253-5902
Phone (800) 475-6236

Other identifiers 2

IdentifierTypeStateIssuer
3323712OtherPAHIGHMARK BS
799631OtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150806011050 PA Practitioner - Pathology 5698840155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of Central Pennsylvania PCGroup PAC ID 6901709948, 11 clinicians

Practice addresses (Care Compare)

100 S 2ND St
Suite 301
Harrisburg, PA 17101-2545
Phone (800) 475-6236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01573NCMDAnatomic Pathology & Clinical Pathology Physician
OS017407PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephrata Community Hospital Current Accepting new patients
Pathology Associates of Central Pennsylvania PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

100 S 2nd St
Harrisburg, PA 17101
Phone (703) 650-8034

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

100 S 2nd St
Ste 301
Harrisburg, PA 17101
Phone (717) 782-2113

Organizations & group practices 2

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1932183993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536003",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152535902",
            "telephone_number": "800-475-6236",
            "fax_number": "843-497-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012515",
            "telephone_number": "843-467-2676",
            "fax_number": "843-497-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2007-01573",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "OS017407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "3323712",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "799631",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.