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SCOTT RAINEY
NPI 1053561886
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Pittsburgh, PA

Active since September 29, 2008PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
9104 BABCOCK BLVD, SUITE 2120, PITTSBURGH, PA 15237(412) 367-0600 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott Rainey NPPES

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

SCOTT RAINEY (NPI 1053561886) is an individual orthopaedic surgery of the spine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS015237) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Kansas City University Of Physicians And Surgeons (2004).

NPPES Registry Identity

NPI1053561886
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameSCOTT RAINEY
Location Address9104 BABCOCK BLVD, SUITE 2120Pittsburgh, PA 15237-5818
Mailing Address9104 Babcock Blvd, Suite 2120Pittsburgh, PA 15237-5818
Phone(412) 367-0600
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2004
Enumeration DateSeptember 29, 2008
Last NPPES UpdateMarch 25, 2021
✔ NPI 1053561886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in PA · OS015237
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
9104 BABCOCK BLVD, Pittsburgh, PA 15237
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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

Scott Rainey 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 ID8921159732
PECOS Enrollment IDI20101116000198
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 11

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.

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.
142 services113 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.
112 services87 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
85 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
43 services31 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
40 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.74
Promoting Interoperability100
Improvement Activities40
Cost64.36

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
20%186 patients1/55-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 20

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

GABRIELLE ANNE BUI MD
Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Allegheny County (412) 748-7407
NATALIE LLEWELLYN
Physician Assistant (Surgical)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
VASANTI HARSHIT MAJMUDAR M.D.
Obstetrics & Gynecology
9104 BABCOCK BLVD, SUITE 5113
PITTSBURGH, PA 15237
Allegheny County (412) 364-4184
JAMES CRAIG
Physical Medicine & Rehabilitation (Pain Medicine)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
DR. RICHARD AVERY HERMAN JR. MD
Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Allegheny County (706) 721-0211
ROMANO PONTZER & ASSOCIATES LIMITED
Internal Medicine (Infectious Disease)
9104 BABCOCK BLVD, STE 6118
PITTSBURGH, PA 15237
Allegheny County (412) 348-0330
JUDITH ESMAN
Internal Medicine
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
DR. MICHAEL W. WEISS M.D.
Specialist
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600

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 Scott Rainey's NPI number?

The NPI number for Scott Rainey is 1053561886. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Where is Scott Rainey located?

Scott Rainey practices at 9104 Babcock Blvd Suite 2120, Pittsburgh, PA 15237. The listed phone number is (412) 367-0600.

What is Scott Rainey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Scott Rainey enrolled in Medicare?

Yes. Scott Rainey 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.

Is Scott Rainey affiliated with any hospitals?

According to CMS data, Scott Rainey is affiliated with Upmc Jameson, Upmc Northwest, Butler Memorial Hospital and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Scott Rainey was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.