MICHAEL D SCOTT (PA-C) – Surgical Physician Assistant, NPI 1114007028

MICHAEL D SCOTT (PA-C) is a healthcare provider. based in Cheyenne, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA208 (WY). The NPI Number for MICHAEL D SCOTT (PA-C) is 1114007028

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL D SCOTT (PA-C)
NPI
1114007028
Phone
(307) 635-2562
Address
4017 RAWLINS ST
Enumeration Date
16 October 2006
Last Update Date
7 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076357961
Graduation Year
1990 (36 years ago)
PAC ID
0143312165
Group Practice PAC ID
2961403639
Professional Enrollment ID
I20070822001128
Address ID
WY820011969CH4116XSTXX300

Contacts

Secure Messaging
mscott5192@direct.crmcwy.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

323 PHYSICIAN ASSISTANT in WY

Provider Addresses for MICHAEL D SCOTT (PA-C)

  • 4017 RAWLINS ST

    CHEYENNE, WY 820011800

    Phone: (307) 635-2562

    Fax: (307) 637-2867

    Type: Location

  • College Drive Urgent Care, 4136B, Laramie Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820011969

    Phone: (307) 637-2800

    Fax: (307) 637-2867

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $699.

Total Amount is formed as General ($699) + Research ($0) + Ownership ($0) = $699.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Smith+Nephew, Inc. ($699).

Total Amount

$699

General + Research + Ownership

Payments

7

Total payment records

General Amount

$699

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$699
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: 2007-08-22

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
I20070822001128IPhysician AssistantWYTBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg8121$0
99213Established patient office or other outpatient visit, 20-29 minutes6658$0
20610Aspiration and/or injection of fluid from large joint5937$0
27447Replacement of knee joint, both sides of knee4040$0
27130Replacement of thigh bone and hip joint with prosthesis3835$0
View full utilization report →

Insurance plans in this area (ZIP 82001)

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Provider's Procedures

MICHAEL D SCOTT (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWY20610Aspiration and/or injection of large joint or joint capsule2217

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: 2961403639View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)MA
N E P H R O L O G YKY
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL
-WY
Internal Medicine, Internal Medicine, HospitalistCO
N E U R O L O G YWY
Family PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Thoracic Surgery, Surgical OncologyCO

Reviews

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Frequently asked questions

What number should I use to identify MICHAEL D SCOTT (PA-C) for billing?
Administrative and clinical systems typically use NPI 1114007028 for MICHAEL D SCOTT (PA-C).
Should I treat MICHAEL D SCOTT (PA-C) as an active provider?
Patients and plans typically see MICHAEL D SCOTT (PA-C) as active in the national extract.
What type of care does MICHAEL D SCOTT (PA-C) provide?
MICHAEL D SCOTT (PA-C)'s profile centers on Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL D SCOTT (PA-C)?
MICHAEL D SCOTT (PA-C) is associated with Cheyenne, Wyoming in the same public data insurers reference.
Why is information missing for MICHAEL D SCOTT (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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