SCOTT B BURNETT (PA-C) – Surgical Physician Assistant, NPI 1295787240
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for SCOTT B BURNETT (PA-C)
501 N Graham St Ste 415
Portland, OR 972272006
Phone: (503) 413-3580
Type: Location
St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 345-6545
Fax: (208) 345-1213
Type: Mailing
333, North 1st Street, Downtown, Boise, Ada County, Idaho, 83702, United States
SUITE 280
BOISE, ID 837026100
Phone: (208) 345-6545
Fax: (208) 345-1213
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $360.
Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($324).
Total Amount
$360
General + Research + Ownership
Payments
4
Total payment records
General Amount
$360
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $324 |
| ATRICURE, INC. | $37 |
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: 2025-12-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100621000926 | I | Physician Assistant | ID | TBD |
| I20251225000081 | I | Physician Assistant | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 35301 | Removal of blood clot and portion of chest, neck, or brain artery | 13 | 12 | $0 |
Insurance plans in this area (ZIP 97227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
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