DR. SCOTT R HANNUM (DO) – Vascular Surgery Physician, NPI 1679595615

DR. SCOTT R HANNUM (DO) is a healthcare provider. based in Kissimmee, Florida. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. OS8740 (FL). The NPI Number for DR. SCOTT R HANNUM (DO) is 1679595615

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT R HANNUM (DO)
NPI
1679595615
Phone
(407) 518-4982
Address
720 W OAK ST STE 309
Enumeration Date
25 July 2006
Last Update Date
1 June 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4075184982
Graduation Year
1994 (32 years ago)
PAC ID
3971518945
Group Practice PAC ID
4587763164
Professional Enrollment ID
I20060213000228
Address ID
FL347414910KI720XXSTXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

490 VASCULAR SURGERY in FL

Provider Addresses for DR. SCOTT R HANNUM (DO)

  • 720 W OAK ST STE 309

    KISSIMMEE, FL 347414910

    Phone: (407) 518-4982

    Fax: (407) 518-1748

    Type: Location

  • 720, Oak Street, Kissimmee, Osceola County, Florida, 34741, United States

    SUITE 380

    KISSIMMEE, FL 347414910

    Phone: (407) 518-4982

    Fax: (407) 518-1748

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $286.

Total Amount is formed as General ($286) + Research ($0) + Ownership ($0) = $286.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: CashFlow Solutions, LLC ($120).

Total Amount

$286

General + Research + Ownership

Payments

6

Total payment records

General Amount

$286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060213000228IVascular SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes308199$0
93970Ultrasound study of arm or leg veins with compression and maneuvers176162$0
99203New patient office or other outpatient visit, 30-44 minutes117117$0
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance11251$0
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance7844$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587763164View full group profile
NameSpecialtyState
Nephrology, Internal MedicineFL

Reviews

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Frequently asked questions

What federal number belongs to DR. SCOTT R HANNUM (DO)?
The federal identifier for DR. SCOTT R HANNUM (DO) is NPI 1679595615.
Does this profile mean DR. SCOTT R HANNUM (DO) is currently active?
Yes — DR. SCOTT R HANNUM (DO) appears active in the national provider directory.
What does DR. SCOTT R HANNUM (DO) treat or focus on?
Patients typically see DR. SCOTT R HANNUM (DO) under the specialty Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. SCOTT R HANNUM (DO) practice in Florida?
You will see Kissimmee, Florida on file for DR. SCOTT R HANNUM (DO) alongside any extra practice locations.
Is DR. SCOTT R HANNUM (DO) a real provider?
This page reflects official NPPES data for NPI 1679595615. Always confirm identity and privileges with the practice and licensing boards.

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