LISA C SCOTT (PHYSICIANS ASSISTANT) – Physician Assistant, NPI 1003943465

LISA C SCOTT (PHYSICIANS ASSISTANT) is a healthcare provider. based in Oakland, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIANS ASSISTANT. They hold a License No. C01892 (MD). The NPI Number for LISA C SCOTT (PHYSICIANS ASSISTANT) is 1003943465

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
LISA C SCOTT (PHYSICIANS ASSISTANT)
NPI
1003943465
Phone
(301) 334-4400
Address
69 WOLF ACRES DRIVE
Enumeration Date
27 February 2007
Last Update Date
1 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
2163410150
Group Practice PAC ID
9436416864
Professional Enrollment ID
I20040506000582
Address ID
MD215501513OA233XXAXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for LISA C SCOTT (PHYSICIANS ASSISTANT)

  • 69 WOLF ACRES DRIVE

    OAKLAND, MD 21550

    Phone: (301) 334-4400

    Fax: (301) 334-8228

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Orexo US, Inc. ($42).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Orexo US, Inc.$42
Indivior Inc.$20
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: 2004-05-06

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
I20040506000582IPhysician AssistantMDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21550)

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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: 9436416864View full group profile
NameSpecialtyState
Addiction Medicine, Pain ManagementMD

Reviews

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Frequently asked questions

Can I verify LISA C SCOTT (PHYSICIANS ASSISTANT) with an NPI only?
You can start verification with NPI 1003943465 for LISA C SCOTT (PHYSICIANS ASSISTANT), then check state licensing separately.
Does the file indicate LISA C SCOTT (PHYSICIANS ASSISTANT) is practicing under active NPI?
Directory data currently reports LISA C SCOTT (PHYSICIANS ASSISTANT) as active.
What is LISA C SCOTT (PHYSICIANS ASSISTANT)'s specialty?
The listing groups LISA C SCOTT (PHYSICIANS ASSISTANT) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect LISA C SCOTT (PHYSICIANS ASSISTANT) on a map?
Expect Oakland, Maryland as a primary anchor for LISA C SCOTT (PHYSICIANS ASSISTANT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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