SCOTT W. TANNER (D.O.) – Anesthesiology Physician, NPI 1033105622

SCOTT W. TANNER (D.O.) is a healthcare provider. based in Jefferson city, Missouri. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. R9N59 (MO). The NPI Number for SCOTT W. TANNER (D.O.) is 1033105622

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT W. TANNER (D.O.)
NPI
1033105622
Phone
(573) 636-3483
Address
1445 CHRISTY DR
Enumeration Date
20 September 2005
Last Update Date
15 October 2007

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5736357022
Graduation Year
1988 (38 years ago)
PAC ID
7113909128
Group Practice PAC ID
8224025747
Professional Enrollment ID
I20040603000688
Address ID
MO651015195JE1705XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,228 ANESTHESIOLOGY in MO

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Provider Addresses for SCOTT W. TANNER (D.O.)

  • 1445, Christy Drive, Jefferson City, Cole County, Missouri, 65101, United States

    JEFFERSON CITY, MO 651012853

    Phone: (573) 636-3483

    Fax: (573) 636-5315

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Rayner Intraocular Lenses Limited ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-15

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: 2004-06-03

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
I20040603000688IAnesthesiologyMOTBD

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
00142Anesthesia for lens surgery170167$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 65101)

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Provider's Procedures

SCOTT W. TANNER (D.O.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMO00142Anesthesia for lens surgery101100

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: 8224025747View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Critical Care (Intensivists), AnesthesiologyMO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

Is SCOTT W. TANNER (D.O.) listed with a National Provider Identifier?
Yes — SCOTT W. TANNER (D.O.) has NPI 1033105622 on file in the registry.
Is SCOTT W. TANNER (D.O.) shown as active in public data?
Registry records indicate SCOTT W. TANNER (D.O.) maintains an active NPI.
What clinical focus is listed for SCOTT W. TANNER (D.O.)?
At a glance, SCOTT W. TANNER (D.O.) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SCOTT W. TANNER (D.O.)?
Directory geography for SCOTT W. TANNER (D.O.) centers on Jefferson City, Missouri.
Does SCOTT W. TANNER (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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