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DR. STEPHEN DONALD SCOGGIN M.D.
NPI 1043201247
Surgery in Brownwood, TX

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
73.1/100
CMS Quality Rating
125 S PARK DR STE A, BROWNWOOD, TX 76801(325) 646-0400(325) 643-1401 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Sep 17, 2020 (2 updates tracked since 2020).

About Dr. Stephen Donald Scoggin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN DONALD SCOGGIN M.D. (NPI 1043201247) is an individual surgery provider in Brownwood, Texas, licensed in Texas (H4685) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Golden Plains Community Hospital, and is a graduate of University Of Texas Medical School At Houston (1987).

NPPES Registry Identity

NPI1043201247
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. STEPHEN DONALD SCOGGINCredential: M.D.
Location Address125 S PARK DR STE ABrownwood, TX 76801-5952
Mailing AddressPo Box 1198Abilene, TX 79604-1198 · (325) 670-4372 · Fax (325) 670-4040
Phone(325) 646-0400
Fax(325) 643-1401
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1987
Enumeration DateNovember 4, 2005
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1043201247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · H4685
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
125 S PARK DR STE A, Brownwood, TX 76801
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Other Identifiers 1

Medicaid122261407TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Donald Scoggin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870482102
PECOS Enrollment IDI20070828001070
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Golden Plains Community Hospital

Critical Access Hospitals · Borger, TX
OwnershipProprietary
CMS Certification Number451369
Location100 Medical DriveBorger, TX 79007 · Hutchinson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.26
Promoting Interoperability100
Improvement Activities40
Cost47.09

Reported Quality Measures

Controlling High Blood Pressure
79%61 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%27 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%263 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%140 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%101 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 42% · 160 patients
Patients screened: 49% · 160 patients
40%20 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW JAMES THIBODEAUX DO
Internal Medicine (Interventional Cardiology)
125 S PARK DR STE A
BROWNWOOD, TX 76801
Brown County (325) 641-8648
LESLEY ANN STONE APRN-CNP, FNP-C
Nurse Practitioner (Family)
125 S PARK DR STE A
BROWNWOOD, TX 76801
Brown County (325) 641-8648

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Scoggin's NPI number?

The NPI number for Stephen Scoggin is 1043201247. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Stephen Scoggin located?

Stephen Scoggin practices at 125 S Park Dr Ste A, Brownwood, TX 76801. The listed phone number is (325) 646-0400.

What is Stephen Scoggin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephen Scoggin enrolled in Medicare?

Yes. Stephen Scoggin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Scoggin accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Stephen Scoggin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Scoggin affiliated with any hospitals?

According to CMS data, Stephen Scoggin is affiliated with Golden Plains Community Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Scoggin was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.