Individual provider Active NPI

Scott E Crater, MD

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1992894414
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22031 Issued in SC
Practice address
8381 Riverwalk Park Blvd. Unit101
Fort Myers, FL 33919-8757
Phone
(239) 936-5425
Fax
(239) 936-5176
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22031 SC Primary

Addresses

Primary practice location

8381 Riverwalk Park Blvd. Unit101
Fort Myers, FL 33919-8757

Mailing address

8381 Riverwalk Park Blvd. Unit101
Fort Myers, FL 33919-8757
Phone (239) 936-5425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090107000577 FL Practitioner - Dermatology 5698838266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology M D P LGroup PAC ID 1355370495, 12 clinicians

Practice addresses (Care Compare)

14 Del Prado N Blvd
Suite 301
Cape Coral, FL 33909-2797
Phone 2399365425221

8381 Riverwalk Park Blvd
Suite 101
Fort Myers, FL 33919-8760
Phone (239) 936-5425

Hospital & facility affiliations

  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of skin lesions3834
Removal or shaving of skin growth13
Skin biopsy1676

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22031SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology M D P L CurrentSince Jul 1, 2008 Accepting new patients
Lowcountry Dermatology Associates PastSince Sep 1, 2000 Accepting new patients

Locations

14 Del Prado Blvd N
Ste 301
Cape Coral, FL 33909
Phone 2399365425221

8381 Riverwalk Park Blvd
Ste 101
Fort Myers, FL 33919
Phone (239) 936-5425

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00020

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 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1992894414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 RIVERWALK PARK BLVD. UNIT101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198757",
            "telephone_number": "239-936-5425",
            "fax_number": "239-936-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 RIVERWALK PARK BLVD. UNIT101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198757",
            "telephone_number": "239-936-5425",
            "fax_number": "239-936-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATER",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "22031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.