Individual provider Active NPI

Scott W Nutter

  • Podiatrist
  • Laurel, MD
National Provider Identifier
1972782142
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00560 Issued in MD
Practice address
13950 Baltimore Ave
Laurel, MD 20707-5000
Phone
(301) 317-6800
Fax
(301) 317-4183
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00560 MD Primary

Addresses

Primary practice location

13950 Baltimore Ave
Laurel, MD 20707-5000

Mailing address

13950 Baltimore Ave
Laurel, MD 20707-5000
Phone (301) 317-6800

Other identifiers 9

IdentifierTypeStateIssuer
252513OtherVABLUE SHIELD OF VA
91242OtherAETNA
A050OtherAMERIGROUP
41866201OtherMDBLUE SHIELD OF MD
7998686000MedicaidMD
91242OtherMDMAMSI
998EOtherTRICARE
0001OtherDCBLUE SHIELD OF DC
496067OtherNCPPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100408000536 DC Practitioner - Podiatry 7012088487 Reassigns benefits to 1 organization
I20100514000903 MD Practitioner - Podiatry 7012088487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Illinois Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Ankle Associates of Maryland, P.a.Group PAC ID 8729067269, 4 clinicians

Practice addresses (Care Compare)

10981 Johns Hopkins Rd
Suite 210
Laurel, MD 20723-6002
Phone (301) 924-5044

13950 Baltimore Ave
Laurel, MD 20707-5000
Phone (301) 317-6800

3408 Olandwood CT
Suite 204
Olney, MD 20832-1367
Phone (301) 924-5044

Merit-based Incentive Payment System (MIPS)

Final score
63.56 of 100Reported as group
Quality
57.74
Promoting interoperability
56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions44
Removal of nail tissue854
Removal or shaving of skin growth322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot & Ankle Associates of Maryland, P.a. Podiatrist CurrentSince May 1, 2021 Accepting new patients
Laurel Lakes Foot and Ankle Center, LLC Current Accepting new patients
Laurel Lakes Foot and Ankle ASC Past Accepting new patients
Optimize Therapy and Fitness LLC PastSince Jun 26, 2021 Accepting new patients

Locations

10981 Johns Hopkins Rd
Ste 210
Laurel, MD 20723
Phone (301) 317-6800

13950 Baltimore Ave
Laurel, MD 20707
Phone (301) 317-6800

10981 Johns Hopkins Rd
Ste B
Laurel, MD 20723
Phone (410) 834-8110

3408 Olandwood Ct
Ste 204
Olney, MD 20832
Phone (301) 439-0300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1972782142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "301-317-6800",
            "fax_number": "301-317-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "301-317-6800",
            "fax_number": "301-317-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "SCOTT",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF VA",
            "identifier": "252513",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "91242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "A050",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MD",
            "identifier": "41866201",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7998686000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "91242",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "998E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF DC",
            "identifier": "0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "496067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.