DR. SCOT B SCHEFFEL MD
NPI 1043216823
Family Medicine - Sports Medicine in Boise, ID

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
1188 UNIVERSITY DR, BOISE, ID 83706(208) 336-8250(208) 345-9514 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Scot B Scheffel Md NPPES

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

DR. SCOT B SCHEFFEL MD (NPI 1043216823) is an individual sports medicine provider in Boise, Idaho, licensed in Idaho (M7295) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1043216823
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. SCOT B SCHEFFELCredential: MD
Location Address1188 UNIVERSITY DRBoise, ID 83706
Mailing Address1188 W University DrBoise, ID 83706-3009 · (208) 336-8250 · Fax (208) 345-9514
Fax(208) 345-9514
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 24, 2005
Last NPPES UpdateAugust 16, 2018
NPI 1043216823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in ID · M7295
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1188 UNIVERSITY DR, Boise, ID 83706

Other Identifiers 1

Medicaid1043216823ID

Accepted 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. Scot B Scheffel Md 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 ID3072401223
PECOS Enrollment IDI20040309000407
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
608 services11 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
416 services59 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
80 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services56 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
36 services24 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Treasure Valley Hospital

Acute Care Hospitals · Boise, ID
OwnershipProprietary
CMS Certification Number130063
Location8800 West Emerald StreetBoise, ID 83704 · Ada County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Orthopaedic Surgery (Sports Medicine)
1188 UNIVERSITY DR
BOISE, ID 83706
Neuromusculoskeletal Medicine, Sports Medicine
1188 UNIVERSITY DR
BOISE, ID 83706
Orthopaedic Surgery (Sports Medicine)
1188 UNIVERSITY DR
BOISE, ID 83706
Physical Therapist
1188 UNIVERSITY DR
BOISE, ID 83706
Specialist/Technologist (Athletic Trainer)
1188 UNIVERSITY DR
BOISE, ID 83706
Physical Therapist (Orthopedic)
1188 UNIVERSITY DR
BOISE, ID 83706
Physical Therapist (Orthopedic)
1188 UNIVERSITY DR
BOISE, ID 83706

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 Scot Scheffel's NPI number?

The NPI number for Scot Scheffel is 1043216823. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Scot Scheffel located?

Scot Scheffel practices at 1188 University Dr, Boise, ID 83706. The listed phone number is (208) 336-8250.

What is Scot Scheffel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Scot Scheffel enrolled in Medicare?

Yes. Scot Scheffel 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 Scot Scheffel accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Scot Scheffel 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 Scot Scheffel affiliated with any hospitals?

According to CMS data, Scot Scheffel is affiliated with St Luke's Regional Medical Center and Treasure Valley Hospital.

When was this NPI record last updated?

The NPPES record for Scot Scheffel was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.