SCOTT PEREZ (PA-C) – Physician Assistant, NPI 1790934453

SCOTT PEREZ (PA-C) is a healthcare provider. based in Powell, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 19932 (CA). The NPI Number for SCOTT PEREZ (PA-C) is 1790934453

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT PEREZ (PA-C)
NPI
1790934453
Phone
(307) 754-7714
Address
777 AVE H
Enumeration Date
17 September 2008
Last Update Date
16 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5305328654
Graduation Year
2008 (18 years ago)
PAC ID
8426116211
Group Practice PAC ID
4082501192
Professional Enrollment ID
I20081023000178
Address ID
CA959666118OR2767X350X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for SCOTT PEREZ (PA-C)

  • Powell Hospital, 777, Avenue H, Powell, Park County, Wyoming, 82435, United States

    POWELL, WY 82435

    Phone: (307) 754-7714

    Fax: (307) 754-1266

    Type: Mailing

  • Vallombrosa Avenue, Chico, Butte County, California, 95928, United States

    CHICO, CA 95926

    Phone: (530) 891-1676

    Fax: (530) 891-1833

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-10-23

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
I20081023000178IPhysician AssistantCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6461$0
View full utilization report →

Insurance plans in this area (ZIP 82435)

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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: 4082501192View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
General SurgeryCA
Physician AssistantCA
O P H T H A L M O L O G YCA
General SurgeryCA
Family PracticeCA
G A S T R O E N T E R O L O G YCA
Internal MedicineNV
N E P H R O L O G YNY
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Is SCOTT PEREZ (PA-C) listed with a National Provider Identifier?
Yes — SCOTT PEREZ (PA-C) has NPI 1790934453 on file in the registry.
Is SCOTT PEREZ (PA-C) shown as active in public data?
Registry records indicate SCOTT PEREZ (PA-C) maintains an active NPI.
What area of care is associated with SCOTT PEREZ (PA-C)?
SCOTT PEREZ (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SCOTT PEREZ (PA-C)?
Travel planning: use Powell, Wyoming as the reference point for SCOTT PEREZ (PA-C), then confirm.
When was this NPI issued?
Enumeration for SCOTT PEREZ (PA-C) is noted as September 17, 2008 where the registry provides it.

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