DR. TRAVIS PATRICK SCOTT (D.C.) – Chiropractor, NPI 1407897432

DR. TRAVIS PATRICK SCOTT (D.C.) is a healthcare provider. based in White bear lake, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 4960 (MN). The NPI Number for DR. TRAVIS PATRICK SCOTT (D.C.) is 1407897432

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRAVIS PATRICK SCOTT (D.C.)
NPI
1407897432
Phone
(651) 762-8040
Address
4717 Clark Ave
Enumeration Date
9 June 2006
Last Update Date
7 June 2021

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
9523224440
Graduation Year
2006 (20 years ago)
PAC ID
7911083092
Group Practice PAC ID
8921282963
Professional Enrollment ID
I20080331000043
Address ID
MN550684586RO15067WXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for DR. TRAVIS PATRICK SCOTT (D.C.)

  • 4717 Clark Ave

    White Bear Lake, MN 551103221

    Phone: (651) 762-8040

    Fax: (651) 762-8070

    Type: Location

  • 15067 CRESTONE AVE W

    ROSEMOUNT, MN 550684586

    Phone: (952) 322-4440

    Fax: (952) 322-4442

    Type: Mailing

  • 4717, Clark Avenue, White Bear Lake, Ramsey County, Minnesota, 55110, United States

    WHITE BEAR LAKE, MN 551103221

    Phone: (651) 762-8040

    Fax: (651) 762-8070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-03-31

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
I20080331000043IChiropracticMNTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions23723$0
View full utilization report →

Insurance plans in this area (ZIP 55110)

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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: 8921282963View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
C H I R O P R A C T I CMN
-MN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What is the standard ID for DR. TRAVIS PATRICK SCOTT (D.C.) in the U.S.?
In the U.S., DR. TRAVIS PATRICK SCOTT (D.C.) is identified by NPI 1407897432.
Is DR. TRAVIS PATRICK SCOTT (D.C.)'s NPI status active today?
Active status means DR. TRAVIS PATRICK SCOTT (D.C.)'s NPI record is not deactivated in the public file.
What does the directory say DR. TRAVIS PATRICK SCOTT (D.C.) does?
Insurance directories may phrase it differently, but here DR. TRAVIS PATRICK SCOTT (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TRAVIS PATRICK SCOTT (D.C.)?
DR. TRAVIS PATRICK SCOTT (D.C.) shows a connection to White Bear Lake, Minnesota in registry-derived data.
Can I export DR. TRAVIS PATRICK SCOTT (D.C.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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