Individual provider Active NPI

Scott Berg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salem, OR
National Provider Identifier
1972890812
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PL60222875 Issued in WA
Practice address
350 Miller St SE
Salem, OR 97302-4272
Phone
(503) 370-8784
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PL60222875 WA Primary

Addresses

Primary practice location

350 Miller St SE
Salem, OR 97302-4272

Mailing address

350 Miller St SE
Salem, OR 97302-4272
Phone (503) 370-8784

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140725000664 OR Practitioner - Podiatry 8628294790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R Tyson Scott DPM LLCGroup PAC ID 1759545858, 2 clinicians

Practice addresses (Care Compare)

800 Liberty St SE
Salem, OR 97302-4137
Phone (503) 370-8784

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as group
Quality
77.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Removal of nail tissue136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PL60222875WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
R Tyson Scott DPM LLC CurrentSince Jul 19, 2014 Accepting new patients
Coastline Corvallis Clinic LLC Foot & Ankle Surgery Past Accepting new patients
Salem Health Past Accepting new patients

Locations

350 Miller St SE
Salem, OR 97302
Phone (503) 370-8784

800 Liberty St SE
Salem, OR 97302
Phone (503) 370-8784

Organizations & group practices 3

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 1

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1972890812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MILLER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024272",
            "telephone_number": "503-370-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MILLER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024272",
            "telephone_number": "503-370-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "SCOTT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PL60222875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.