Individual provider Active NPI

Scott Patrick Markham, D.O.

  • Ophthalmology Physician
  • Prescott, AZ
National Provider Identifier
1972688836
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4498 Issued in AZ
Practice address
1680 Willow Creek Rd
Prescott, AZ 86301-1108
Phone
(928) 778-3950
Fax
(928) 778-3999
NPI assigned
Oct 26, 2006
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4498 AZ Primary

Addresses

Primary practice location

1680 Willow Creek Rd
Prescott, AZ 86301-1108

Mailing address

3192 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (928) 445-1234

Other identifiers 15

IdentifierTypeStateIssuer
03-C0001215OtherAZMEDICARE CCN
033176-001OtherMERCYCARE
3421045OtherCIGNA
4498OtherAZPHYSICIAN MEDICAL LICENSE
860427082OtherAZTAX ID
A00148OtherAZEYEMED
190721MedicaidAZ
NNP12599OtherAZUNIVERSAL HEALTH CARE
2Z6546OtherHEALTHNET
572818OtherRAN & AMN
49779OtherAZAVESIS
190721OtherAHCCCS
7442967OtherAETNA
866291-9714OtherHUMANA
DM2NNPOtherARIZONA FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070829000327 AZ Practitioner - Ophthalmology 3274626767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

1600 Willow Creek Rd
Prescott, AZ 86301-1108
Phone (928) 776-7477

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery170

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Oct 1, 2018 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Sep 1, 2018 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Oct 1, 2018 Accepting new patients
John R. Markham PC Past Accepting new patients
Arizona Institute of Eye Surgery LLC Ophthalmology Past Accepting new patients
Dr. John R. Markham PC Ophthalmology Past Accepting new patients
Arizona Institute of Eye Surgery LLC Past Accepting new patients

Locations

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

1600 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 608-5500

1680 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 320-2306

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

13624 W Camino del Sol
Ste 200
Sun City West, AZ 85375
Phone (623) 546-6599

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: scott.markham@direct.avp.nextgenshare.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1972688836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-445-1234",
            "fax_number": "928-778-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011108",
            "telephone_number": "928-778-3950",
            "fax_number": "928-778-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "SCOTT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "4498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "03-C0001215",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE",
            "identifier": "033176-001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3421045",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN MEDICAL LICENSE",
            "identifier": "4498",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "860427082",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "A00148",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190721",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "NNP12599",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z6546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAN & AMN",
            "identifier": "572818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "49779",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "190721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7442967",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "866291-9714",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA FOUNDATION",
            "identifier": "DM2NNP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.