DR. MATTIE MARY SANDRA SCOTT (M.D.) – Obstetrics & Gynecology Physician, NPI 1629094982

DR. MATTIE MARY SANDRA SCOTT (M.D.) is a healthcare provider. based in Grand blanc, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301075129 (MI). The NPI Number for DR. MATTIE MARY SANDRA SCOTT (M.D.) is 1629094982

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTIE MARY SANDRA SCOTT (M.D.)
NPI
1629094982
Phone
(810) 694-7095
Address
8423 HOLLY RD STE B
Enumeration Date
13 July 2006
Last Update Date
29 August 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
8106947095
Graduation Year
1995 (31 years ago)
PAC ID
3072695808
Professional Enrollment ID
I20080131000472
Address ID
MI484392488GR8423XBXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,734 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for DR. MATTIE MARY SANDRA SCOTT (M.D.)

  • 8423 HOLLY RD STE B

    GRAND BLANC, MI 484392488

    Phone: (810) 694-7095

    Fax: (810) 694-7224

    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 33 Open Payments records for all available years, with a total value of $641.

Total Amount is formed as General ($641) + Research ($0) + Ownership ($0) = $641.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($205).

Total Amount

$641

General + Research + Ownership

Payments

33

Total payment records

General Amount

$641

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2008-01-31

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
I20080131000472IObstetrics/GynecologyMITBD

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 minutes7342$0
99214Established patient office or other outpatient visit, 30-39 minutes5136$0
G0444Annual depression screening, 5 to 15 minutes2727$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina2120$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2121$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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Reviews

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Frequently asked questions

Does DR. MATTIE MARY SANDRA SCOTT (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MATTIE MARY SANDRA SCOTT (M.D.) uses 1629094982.
Does the file indicate DR. MATTIE MARY SANDRA SCOTT (M.D.) is practicing under active NPI?
Directory data currently reports DR. MATTIE MARY SANDRA SCOTT (M.D.) as active.
What is DR. MATTIE MARY SANDRA SCOTT (M.D.) best known for clinically?
Directory data describes DR. MATTIE MARY SANDRA SCOTT (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MATTIE MARY SANDRA SCOTT (M.D.) based?
DR. MATTIE MARY SANDRA SCOTT (M.D.) is tied to Grand Blanc, Michigan in the data we show; additional addresses may exist on the full record.
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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