DR. SCOTT REWINKEL M.D.
NPI 1104245968
Psychiatry & Neurology - Neurology in Portland, OR

NPI Status: Active since April 09, 2014

Contact Information

3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8211

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  • Individual
  • Male
  • Years of Experience 12
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SCOTT REWINKEL

This page provides the complete NPI Profile along with additional information for Scott Rewinkel, a provider established in Portland, Oregon with a medical specialization in Psychiatry & Neurology, focusing in neurology and more than 12 years of experience. He graduated from University Of Kentucky College Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1104245968 assigned on April 2014. The practitioner's primary taxonomy code is 2084N0400X with license number MD188628 (OR). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1104245968
Provider Name
DR. SCOTT REWINKEL M.D.
Gender
Male
Entity Type
Individual
Location Address
3181 SW SAM JACKSON PARK RD # L579 PORTLAND, OR 97239
Location Phone
(503) 494-8211
Mailing Address
3181 SW SAM JACKSON PARK RD # L579 PORTLAND, OR 97239
Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
04-09-2014
Last Update Date
11-12-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
MD188628
License State
OR
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Scott Rewinkel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Scott Rewinkel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3173742194

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190823001648

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Extended inpatient or observation hospital service, first hour

This service involves staying in the hospital for a longer period for close monitoring or treatment. During the first hour, medical staff observe your health status, administer necessary treatments, and ensure your comfort and safety. It's part of ensuring optimal care.

This service was performed 27 times for 26 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 149 times for 92 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 101 times for 100 patients

Measurement of brain wave activity (eeg), awake and drowsy

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

This service was performed 20 times for 20 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

This service was performed 19 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.54 for a new patient copayment and $25.87 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97239 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.16
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $33.54
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.51
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $25.87
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Rewinkel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
OHSU HOSPITAL AND CLINICS3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
(503) 494-6245Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104245968, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 4 + 1 + 0 + 9 + 1 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104245968.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Neurological Surgery
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L579, OHSU
PORTLAND, OR 97239
Hospitalist
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Anesthesiology
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Anesthesiology
3181 SW SAM JACKSON PARK RD # L579, MAIL CODE SJH-2
PORTLAND, OR 97239
Psychiatry & Neurology (Neurology)
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Pediatrics (Neonatal-Perinatal Medicine)
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239
Orthopaedic Surgery
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104245968, enumerated as an "individual" on April 09, 2014.

The provider is located at 3181 SW SAM JACKSON PARK RD # L579 PORTLAND, OR 97239 and the phone number is (503) 494-8211.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.

Scott Rewinkel is affiliated with: OHSU HOSPITAL AND CLINICS.