Scott B O'Connor, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005106 Issued in IL

Practice address

1512 W Reynolds St Ste a
Pontiac, IL 61764-9788

Phone

(815) 842-6551

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

Yes

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 IL

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

Podiatry

Education

Kent State University College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint James Hospital Hospital, Pontiac, IL, CCN 140161
• St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162

Merit-based Incentive Payment System (MIPS)

Final score

89.78 of 100Reported as individual

Quality

83.06

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/491/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/9703/brand/1/csg/1/fhir/r4
• Direct secure messaging: scott.oconnor.1@9703.direct.athenahealth.com

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.

• Pro Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Pontiac, IL
  • NPI 1609064369
  Medicare reassignment NPD Authorized official
• Pro Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Bloomington, IL
  • NPI 1770027930
  NPD Authorized official
• McLean County Orthopedics, LTD

  • Orthopaedic Surgery Physician
  • Bloomington, IL
  • NPI 1063420248
  NPD (past)
• Central Indiana Podiatry, PC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1841235512

  Foot & Ankle Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint James Hospital

  • General Acute Care Hospital
  • Pontiac, IL
  • NPI 1407808090
  Care Compare affiliation
• St Joseph Medical Center

  • General Acute Care Hospital
  • Bloomington, IL
  • NPI 1619916806
  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1992792261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W REYNOLDS ST STE A",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649788",
            "telephone_number": "815-842-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 W REYNOLDS ST STE A",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649788",
            "telephone_number": "815-842-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 E College Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617042484",
            "country_code": "US",
            "telephone_number": "309-807-0384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SCOTT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nicolosi
• Deborah L Nielsen, R.N. A.P.N
• Steven S. Norris, M.D.
• Shai Nyi
• Lindsay O'Brien, ED.S.
• Andrew Offermann
• Jamila Moninuola Oladipo, PMHNP
• Lindsay Nicole Orr, AGACNP-C
• Osf Saint Francis, Inc
• Mukesh V Patel

• Foot & Ankle Surgery Podiatrist in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.