Individual provider Active NPI

Scott M De la Garza, MD

  • Orthopaedic Surgery of the Spine Physician
  • Oklahoma City, OK
National Provider Identifier
1972565778
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
21981 Issued in OK
Practice address
1110 N Lee Ave Ste 200
Oklahoma City, OK 73103-2612
Phone
(405) 218-2530
Fax
(405) 218-2535
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 21981 OK Primary
Orthopaedic Surgery Physician 207X00000X 21981 OK

Addresses

Primary practice location

1110 N Lee Ave Ste 200
Oklahoma City, OK 73103-2612

Mailing address

1110 N Lee Ave Ste 200
Oklahoma City, OK 73103-2612
Phone (405) 218-2530

Other identifiers 1

IdentifierTypeStateIssuer
200092790AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070215000713 OK Practitioner - Orthopedic Surgery 5092740852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

1110 N Lee Ave
Oklahoma City, OK 73103-2612

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

  • Complete Home Health of Oklahoma City Home health agency, Oklahoma City, OK, CCN 377644
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • Purcell Municipal Hospital Hospital, Purcell, OK, CCN 370158

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion345
Laminectomy or laminotomy (partial removal of spine bones)104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21981OKMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Orthopaedic Surgery CurrentSince Jan 9, 2020 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 9, 2020 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Eagle Community Clinic LLC Past Accepting new patients
Greater Norman Surgery Center, LLC PastSince Jun 1, 2011 Accepting new patients

Locations

608 NW 9th St
Ste 6000
Oklahoma City, OK 73102
Phone (405) 272-6120

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

1110 N Lee Ave
Ste 200
Oklahoma City, OK 73103
Phone (405) 218-2530

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Interoperability endpoints

  • Direct secure messaging: sdelagarza37385@direct-ehr-ssmhc.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 8

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1972565778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N LEE AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032612",
            "telephone_number": "405-218-2530",
            "fax_number": "405-218-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N LEE AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032612",
            "telephone_number": "405-218-2530",
            "fax_number": "405-218-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA GARZA",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OK",
            "license": "21981",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "21981",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200092790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.