Kirsten Carmiencke Scott, OD MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

3133ATI Issued in OR

Practice address

452 NE Greenwood Ave
Bend, OR 97701-4645

Phone

(541) 382-5701

Fax

(541) 382-5702

NPI assigned

Dec 7, 2005

Last updated

Apr 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Eyecare Holdings LLCGroup PAC ID 6507143724, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.44 of 100Reported as group

Quality

64.87

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirsten.scott@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Eyecare Holdings, LLC

  • Optometrist
  • Bend, OR
  • NPI 1497290316
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1952386575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014645",
            "telephone_number": "541-382-5701",
            "fax_number": "541-382-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014645",
            "telephone_number": "541-382-5701",
            "fax_number": "541-382-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KIRSTEN",
        "middle_name": "CARMIENCKE",
        "name_prefix": "Dr.",
        "credential": "OD MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3133ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Schweppe, MSW
• Scott Vander Wall, DC, PC
• Anne M Scott, DMD
• Bradley E Scott, PA-C
• Joshua Michael Scott, PA-C
• Lily Scott
• Randy D Scott, PHARMD
• Shayla Cerrisha Scott, MSW, CSWA
• Stephani Faye Scott
• Stephanie R Scott, PA-C

• Optometrist in Bend, OR
• Providers in Bend, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.