MEGAN N SCOTT CARLTON M.D.
NPI 1073957965
Ophthalmology in Ponte Vedra Beach, FL

Q: What is Megan Scott Carlton's NPI number?

The NPI number for Megan Scott Carlton is 1073957965. It was assigned to this individual provider in the NPPES registry on April 22, 2013. The provider is also known as Megan N Scott MD.

Q: What is Megan Scott Carlton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

35 EXECUTIVE WAY STE 110, PONTE VEDRA BEACH, FL 32082(904) 712-3315(904) 712-3316 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2019, Oct 23, 2018, Jul 11, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Megan N Scott Carlton M.d. NPPES

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

MEGAN N SCOTT CARLTON M.D. (NPI 1073957965) is an individual ophthalmology provider in Ponte Vedra Beach, Florida, licensed in Florida (132152) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2017).

NPPES Registry Identity

NPI1073957965

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameMEGAN N SCOTT CARLTONCredential: M.D.

Location Address35 EXECUTIVE WAY STE 110Ponte Vedra Beach, FL 32082-2788

Mailing Address35 Executive Way Ste 110Ponte Vedra Beach, FL 32082-2788 · (904) 712-3315 · Fax (904) 712-3316

Phone(904) 712-3315

Fax(904) 712-3316

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2017

Enumeration DateApril 22, 2013

Last NPPES UpdateJanuary 29, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2025

✔ NPI 1073957965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · 132152

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

35 EXECUTIVE WAY STE 110, Ponte Vedra Beach, FL 32082

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Other Names 1

Former Name (1)Megan N Scott Md

Other Identifiers 2

Medicaid722671FL

OtherME132152FL · Florida Board Of Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan N Scott Carlton 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 ID2961779756

PECOS Enrollment IDI20171020000345

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.

Medicare Billing Reassignment

Medicare enrollment records show Megan Scott Carlton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palm Valley Eye Care And Surgeons, LLC

Same address

Ophthalmology

35 EXECUTIVE WAY STE 110
Ponte Vedra Beach, FL 32082

Reassigned Medicare billing, Florida enrollment

NPI 1184190720 (904) 712-3315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

347 services296 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.

227 services164 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.

201 services130 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

163 services127 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

94 services88 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

79 services79 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

66 services39 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

59 services33 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

58 services55 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

42 services41 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.

41 services41 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

32 services22 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

31 services30 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

22 services21 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

19 services12 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

14 services13 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32082 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%82 patients5/55-star benchmark: 100%

Diabetes: Eye Exam

99%71 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%2,150 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%579 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

90%130 patients

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

100%65 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%64 patients

Tobacco Use and Help with Quitting Among Adolescents

100%67 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 603 patients

Patients totalRate: 0% · 603 patients

0%603 patients5/55-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.

PALM VALLEY EYE CARE AND SURGEONS, LLC

Ophthalmology

35 EXECUTIVE WAY STE 110
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 712-3315

HDAP, LLC

Health Educator

35 EXECUTIVE WAY STE 110
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 285-2019

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 Megan Scott Carlton's NPI number?

The NPI number for Megan Scott Carlton is 1073957965. It was assigned to this individual provider in the NPPES registry on April 22, 2013. The provider is also known as Megan N Scott MD.

Where is Megan Scott Carlton located?

Megan Scott Carlton practices at 35 Executive Way Ste 110, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 712-3315.

What is Megan Scott Carlton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Megan Scott Carlton enrolled in Medicare?

Yes. Megan Scott Carlton 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.

Which organization bills Medicare for Megan Scott Carlton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Scott Carlton reassigns Medicare benefits to Palm Valley Eye Care And Surgeons, LLC (Ponte Vedra Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Scott Carlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Scott Carlton accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Megan Scott Carlton 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.

When was this NPI record last updated?

The NPPES record for Megan Scott Carlton was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.