DR. SCOTT L. BLEAZARD (MD) – Diagnostic Radiology Physician, NPI 1679695761

DR. SCOTT L. BLEAZARD (MD) is a healthcare provider. based in Edina, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. C55792 (CA). The NPI Number for DR. SCOTT L. BLEAZARD (MD) is 1679695761

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT L. BLEAZARD (MD)
NPI
1679695761
Phone
(952) 595-1301
Address
3600 Minnesota Dr Ste 800
Enumeration Date
6 April 2007
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5309266111
Graduation Year
2003 (23 years ago)
PAC ID
1052564101
Group Practice PAC ID
2062424583
Professional Enrollment ID
I20130703000171
Address ID
CA960672143MO914XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,803 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for DR. SCOTT L. BLEAZARD (MD)

  • 3600 Minnesota Dr Ste 800

    Edina, MN 554357915

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Location

  • 914 PINE ST

    MT SHASTA, CA 96067

    Phone: (530) 926-9329

    Fax: (855) 251-4626

    Type: Location

  • PO BOX 1086

    YREKA, CA 960971086

    Phone: (530) 842-7297

    Fax: (530) 842-9054

    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: 2013-07-03

PECOS data refreshed: 2026-06-15

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
I20130703000171IDiagnostic RadiologyCATBD

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
71045X-ray of chest, 1 view755601$0
77067Screening mammography403403$0
77063Screening 3d breast mammography403403$0
70450Ct scan head or brain without contrast401351$0
77080Dxa bone density measurement of hip, pelvis, spine353353$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Provider's Procedures

DR. SCOTT L. BLEAZARD (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front473394
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views8169
DIAGNOSTIC RADIOLOGYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4643

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: 2062424583View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional RadiologyFL
Diagnostic RadiologyCA
Diagnostic RadiologyCA

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Frequently asked questions

What identifier follows DR. SCOTT L. BLEAZARD (MD) across health systems?
The NPI 1679695761 uniquely identifies DR. SCOTT L. BLEAZARD (MD) in U.S. healthcare data.
Is DR. SCOTT L. BLEAZARD (MD)'s NPI status active today?
Active status means DR. SCOTT L. BLEAZARD (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. SCOTT L. BLEAZARD (MD) does?
Insurance directories may phrase it differently, but here DR. SCOTT L. BLEAZARD (MD) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. SCOTT L. BLEAZARD (MD) in Edina, Minnesota?
For routing, start with Edina, Minnesota for DR. SCOTT L. BLEAZARD (MD), then verify phone and hours locally.
Can I export DR. SCOTT L. BLEAZARD (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.