Individual provider Active NPI

Scott Allen Smith, DO

  • Dermatology Physician
  • Spokane Valley, WA
National Provider Identifier
1992803811
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OP00002015 Issued in WA
Practice address
12509 E Mission Ave Ste 102
Spokane Valley, WA 99216-1061
Phone
(509) 892-2480
Fax
(509) 892-6708
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OP00002015 WA Primary

Addresses

Primary practice location

12509 E Mission Ave Ste 102
Spokane Valley, WA 99216-1061

Mailing address

12509 E Mission Ave Ste 102
Spokane Valley, WA 99216-1061
Phone (509) 892-2480

Other practice location 1

143 Garden Homes Dr
Colville, WA 99114-9229
Phone (509) 892-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070123000294 WA Practitioner - Dermatology 7214938968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Dermatology and Skin Cancer CenterGroup PAC ID 8022107648, 5 clinicians

Practice addresses (Care Compare)

13512 E Mansfield Ave
Spokane Valley, WA 99216-1793
Phone (509) 892-2480

143 Garden Homes Dr
Colville, WA 99114-9229
Phone (509) 892-2480

Merit-based Incentive Payment System (MIPS)

Final score
90.03 of 100Reported as group
Quality
81.87
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions1699
Removal of skin cancer359
Removal or shaving of skin growth16
Skin biopsy152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Dermatology and Skin Cancer Center Dermatology CurrentSince Oct 15, 2007 Accepting new patients
Spokane Dermatology Clinic PS Dermatology Past Accepting new patients

Locations

143 Garden Homes Dr
Colville, WA 99114
Phone (509) 684-3701

13512 E Mansfield Ave
Spokane Valley, WA 99216
Phone (509) 892-2480

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1992803811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 E MISSION AVE STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161061",
            "telephone_number": "509-892-2480",
            "fax_number": "509-892-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 E MISSION AVE STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161061",
            "telephone_number": "509-892-2480",
            "fax_number": "509-892-6708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Garden Homes Dr",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991149229",
            "country_code": "US",
            "telephone_number": "509-892-2480",
            "fax_number": "509-892-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "OP00002015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.