NPIMap

Individual provider Active NPI

Jared M Scott, MD

  • Dermatology Physician
  • Boise, ID
National Provider Identifier
1992808893
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M-10116 Issued in ID
Practice address
1906 S Vista Ave
Boise, ID 83705-3453
Phone
(208) 433-1114
Fax
(208) 433-1115
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X M-10116 ID
Procedural Dermatology Physician 207NS0135X M-10116 ID
Dermatology Physician 207N00000X M-10116 ID Primary

Addresses

Primary practice location

1906 S Vista Ave
Boise, ID 83705-3453

Mailing address

1906 S Vista Ave
Boise, ID 83705-3453
Phone (208) 433-1114

Other practice location 1

500 W. Fort St
# 111
Boise, ID 83702
Phone (208) 422-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080815000225 ID Practitioner - Dermatology 5991805970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Idaho Skin Surgery Center PCGroup PAC ID 9537234299, 4 clinicians
Issc FruitlandGroup PAC ID 9335520113, 4 clinicians

Practice addresses (Care Compare)

1906 S Vista Ave
Suite a
Boise, ID 83705-3453
Phone (208) 433-1114

811 NW 12TH St
Fruitland, ID 83619-2268
Phone (208) 452-7450

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
74.91
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
84.63
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of tissue1-10
Removal of skin lesions265
Removal of skin cancer601
Removal or shaving of skin growth25
Skin biopsy191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10116IDMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CT Derm PC Dermatology CurrentSince May 23, 2022 Accepting new patients
Issc Fruitland Dermatology CurrentSince May 23, 2022 Accepting new patients
Idaho Skin Surgery Center, PC Dermatology CurrentSince Aug 4, 2008 Accepting new patients
Pinnacle Dermatology, SC Dermatology Past Accepting new patients

Locations

1906 S Vista Ave
Boise, ID 83705
Phone (208) 433-1114

1906 S Vista Ave
Ste A
Boise, ID 83705
Phone (208) 433-1114

975 NW 16th St
Fruitland, ID 83619
Phone (208) 452-7450

811 NW 12th St
Fruitland, ID 83619
Phone (208) 452-7450

Interoperability endpoints

  • Direct secure messaging: jscott@idahoskinsurgeryctr.emadirect.md

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.

Hospital & facility affiliations 7

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1992808893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 S VISTA AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053453",
            "telephone_number": "208-433-1114",
            "fax_number": "208-433-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 S VISTA AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053453",
            "telephone_number": "208-433-1114",
            "fax_number": "208-433-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W. Fort St",
            "address_2": "# 111",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83702",
            "country_code": "US",
            "telephone_number": "208-422-1000",
            "fax_number": "208-422-1319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JARED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "ID",
            "license": "M-10116",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "ID",
            "license": "M-10116",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M-10116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.