JOHN SCOPETTA (MD) – Dermatology Physician, NPI 1417181819

JOHN SCOPETTA (MD) is a healthcare provider. based in Salem, Oregon. specializing in DERMATOLOGY, PATHOLOGY. They hold the professional credentials MD. They hold a License No. 198045 (OR). The NPI Number for JOHN SCOPETTA (MD) is 1417181819

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JOHN SCOPETTA (MD)
NPI
1417181819
Phone
(503) 362-8385
Address
1793 13TH ST SE
Enumeration Date
13 May 2009
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2065251168
Graduation Year
2009 (17 years ago)
PAC ID
4385050202
Group Practice PAC ID
5890863492
Professional Enrollment ID
I20240710003257
Address ID
WA981054028SE3216XPLXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness85
Years active:17State licenses:2Digital endpointsOther names

232 DERMATOLOGY in OR

Provider Addresses for JOHN SCOPETTA (MD)

  • 1793 13TH ST SE

    SALEM, OR 973022541

    Phone: (503) 362-8385

    Fax: (503) 362-8435

    Type: Mailing

  • 123 C Ave

    Lake Oswego, OR 970342353

    Phone: (859) 684-1196

    Type: Location

  • 1430 TULANE AVE # SL-50

    NEW ORLEANS, LA 701122632

    Phone: (504) 988-7809

    Type: Mailing

  • 5350 TALLMAN AVE NW STE 510

    SEATTLE, WA 981075910

    Phone: (206) 531-3114

    Fax: (425) 688-8850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 162 Open Payments records for all available years, with a total value of $6,303.

Total Amount is formed as General ($6,303) + Research ($0) + Ownership ($0) = $6,303.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,530).

Total Amount

$6,303

General + Research + Ownership

Payments

162

Total payment records

General Amount

$6,303

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-07-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210301001667IDermatologyORTBD
I20240710003257IDermatologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97302)

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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: 5890863492View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
D E R M A T O L O G YOR
D E R M A T O L O G YWA
Physician AssistantWA
D E R M A T O L O G YWA
Nurse PractitionerWA
D E R M A T O L O G YWA
-WA
Nurse PractitionerWA
-OR

Reviews

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Frequently asked questions

Is JOHN SCOPETTA (MD) listed with a National Provider Identifier?
Yes — JOHN SCOPETTA (MD) has NPI 1417181819 on file in the registry.
Would JOHN SCOPETTA (MD) appear as active to a payer?
You can treat JOHN SCOPETTA (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JOHN SCOPETTA (MD)?
JOHN SCOPETTA (MD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN SCOPETTA (MD)?
Travel planning: use Salem, Oregon as the reference point for JOHN SCOPETTA (MD), then confirm.
When was this NPI issued?
Enumeration for JOHN SCOPETTA (MD) is noted as May 13, 2009 where the registry provides it.

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