DR. SCOTT M OLTMAN (O.D.) – Optometrist, NPI 1710094636

DR. SCOTT M OLTMAN (O.D.) is a healthcare provider. based in Ellensburg, Washington. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. OD00003882 (WA). The NPI Number for DR. SCOTT M OLTMAN (O.D.) is 1710094636

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT M OLTMAN (O.D.)
NPI
1710094636
Phone
(509) 925-6794
Address
2501 MOE RD
Enumeration Date
24 August 2006
Last Update Date
27 February 2020

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5099251000833
Graduation Year
2004 (22 years ago)
PAC ID
6709856347
Group Practice PAC ID
8729187893
Professional Enrollment ID
I20040729001250
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SCOTT M OLTMAN (O.D.)

  • 2501 MOE RD

    ELLENSBURG, WA 989268426

    Phone: (509) 925-6794

    Fax: (509) 962-9135

    Type: Mailing

  • West Dolarway Road, Ellensburg, Kittitas County, Washington, 98926, United States

    ELLENSBURG, WA 989268228

    Phone: (509) 925-1000

    Fax: (509) 925-2474

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Alcon Vision LLC ($97).

Total Amount

$97

General + Research + Ownership

Payments

5

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$97
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: 2004-07-29

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
I20040729001250IOptometryWATBD

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 98926)

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Provider's Procedures

DR. SCOTT M OLTMAN (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWA92083Measurement of field of vision during daylight conditions3232
OPTOMETRYWA92134Diagnostic imaging of retina269125

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: 8729187893View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
O P T O M E T R YWA
O P T O M E T R YMN
O P T O M E T R YWA
O P T O M E T R YNE
O P T O M E T R YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SCOTT M OLTMAN (O.D.)?
DR. SCOTT M OLTMAN (O.D.) — NPI 1710094636 — is the standard way to identify this listing.
Is DR. SCOTT M OLTMAN (O.D.) still practicing?
DR. SCOTT M OLTMAN (O.D.) is currently listed as active in the public NPI registry.
What is DR. SCOTT M OLTMAN (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. SCOTT M OLTMAN (O.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. SCOTT M OLTMAN (O.D.) serve?
DR. SCOTT M OLTMAN (O.D.)'s listing highlights Ellensburg, Washington; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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