Active NPI
John Glenn Scott, M.D., PH.D.
- Family Medicine Physician
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TM2020-1177
- Practice address
- 2450 S Telshor Blvd
Las Cruces, NM 88011-5076 - Phone
- (802) 748-9501
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA72009 | NJ | |
| Family Medicine Physician | 207Q00000X | 042-0011945 | VT | |
| Family Medicine Physician | 207Q00000X | 59062 | TX | |
| Family Medicine Physician | 207Q00000X | TM2020-1177 | NM | Primary |
Addresses
Primary practice location
2450 S Telshor Blvd
Las Cruces, NM 88011-5076
Mailing address
22730 Diamond Bay Dr
Frankston, TX 75763-4020
Phone (732) 512-7704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NM, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100629000005 | VT | Practitioner - Family Practice | 9335275965 | Reassigns benefits to 2 organizations |
| I20220728002588 | NM | Practitioner - Family Practice | 9335275965 | Reassigns benefits to 1 organization |
| I20260319000389 | NC | Practitioner - Family Practice | 9335275965 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Duke University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Appalachian Regional Medical Associates IncPHC-Las Cruces Inc
Practice addresses (Care Compare)
148 Hwy 105 Ext
Suite 102
Boone, NC 28607-5682
Phone (828) 386-2222
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 556-6550
Hospital & facility affiliations
- Watauga Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA72009 | NJ | MD | Family Medicine Physician |
| TM2020-1177 | NM | MD | Family Medicine Physician |
| 59062 | TX | MD | Family Medicine Physician |
| 042-0011945 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC-Las Cruces Inc | Family Medicine | Current | Accepting new patients |
| PHC Las Cruces | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| PHC Las Cruces Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Appalachian Regional Medical Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Rutgers Health-PCC Monument Square | Family Medicine | Past | Accepting new patients |
| Northeast Arkansas Clinic, PA | Past | Accepting new patients |
Locations
148 Highway 105 Ext
Ste 102
Boone, NC 28607
Phone (828) 257-2946
2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
195 Industrial Pkwy
Lyndonville, VT 05851
1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638
Interoperability endpoints
- john.scott.1@19849.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Boone, NC
- NPI 1669533923
Family Medicine, NC
-
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
VT
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1174566541
VT
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- Hematology & Oncology Physician
- Las Cruces, NM
- NPI 1376774489
-
- Infectious Disease Physician
- Las Cruces, NM
- NPI 1942581202
-
- Specialist
- St Johnsbury, VT
- NPI 1760773774
-
- Podiatrist
- St Johnsbury, VT
- NPI 1710631635
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1013430511
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1326081811
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1548202690
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": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1992884456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22730 DIAMOND BAY DR",
"city": "FRANKSTON",
"state": "TX",
"postal_code": "757634020",
"telephone_number": "732-512-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115076",
"telephone_number": "802-748-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JOHN",
"middle_name": "GLENN",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA72009",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "042-0011945",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "59062",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "TM2020-1177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.