SCOTT THOMPSON (PA-C) – Physician Assistant, NPI 1417909987

SCOTT THOMPSON (PA-C) is a healthcare provider. based in Saint clair shores, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004193 (MI). The NPI Number for SCOTT THOMPSON (PA-C) is 1417909987

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT THOMPSON (PA-C)
NPI
1417909987
Phone
(586) 489-6958
Address
21709 GROSSEDALE ST
Enumeration Date
16 May 2006
Last Update Date
30 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8337894673
Graduation Year
2003 (23 years ago)
PAC ID
3072407923
Group Practice PAC ID
7214311703
Professional Enrollment ID
I20040211000530
Address ID
MI481523926LI39111RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for SCOTT THOMPSON (PA-C)

  • 21709, Grossedale Street, Saint Clair Shores, Macomb County, Michigan, 48082, United States

    SAINT CLAIR SHORES, MI 480821661

    Phone: (586) 489-6958

    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 9 Open Payments records for all available years, with a total value of $678.

Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($161).

Total Amount

$678

General + Research + Ownership

Payments

9

Total payment records

General Amount

$678

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2004-02-11

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
I20040211000530IPhysician AssistantMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes599329$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes298203$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes126126$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes9481$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes5454$0
View full utilization report →

Insurance plans in this area (ZIP 48082)

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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: 7214311703View full group profile
NameSpecialtyState
Clinical PsychologistMI

Reviews

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Frequently asked questions

Does SCOTT THOMPSON (PA-C) have a public NPI I can cite?
Public records show SCOTT THOMPSON (PA-C) under NPI 1417909987.
Quick check: is SCOTT THOMPSON (PA-C) active?
Public NPPES data shows SCOTT THOMPSON (PA-C) with an active NPI status right now.
Which specialty label fits SCOTT THOMPSON (PA-C)?
NPPES ties SCOTT THOMPSON (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit SCOTT THOMPSON (PA-C) in Saint Clair Shores, Michigan?
For routing, start with Saint Clair Shores, Michigan for SCOTT THOMPSON (PA-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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