DR. SCOTT LAWRENCE PORTNOY MD
NPI 1144221102
Ophthalmology in Natrona Heights, PA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
2853 FREEPORT ROAD, NATRONA HEIGHTS, PA 15065(724) 224-4240(724) 224-3197 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott Lawrence Portnoy Md NPPES

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

DR. SCOTT LAWRENCE PORTNOY MD (NPI 1144221102) is an individual ophthalmology provider in Natrona Heights, Pennsylvania, licensed in Pennsylvania (MD043503E) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Tulane University School Of Medicine (1985).

NPPES Registry Identity

NPI1144221102
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SCOTT LAWRENCE PORTNOYCredential: MD
Location Address2853 FREEPORT ROADNatrona Heights, PA 15065
Mailing Address2026 E Carson StPittsburgh, PA 15203-1902 · (412) 381-1542 · Fax (412) 381-6662
Fax(724) 224-3197
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1985
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 21, 2010
NPI 1144221102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD043503E
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.

2853 FREEPORT ROAD, Natrona Heights, PA 15065

Other Identifiers 17

OtherMD043503ETricare For Life
Medicare ID-Type Unspecified600838D7W
Other4550PAVision Benefits Of Americ
Other4550PAVision Service Plan
Medicare UPINE41001
Medicare ID-Type Unspecified180037688Railroad
Other81633Health America/health Ass
OtherMD043503ECigna
Other80155Aetna
Other100723Upmc Health Plan
Other180037688United Healthcare
Other0017322Doral Vision Services
Other0011990950009Med Plus/three Rivers
Other0279190001United Healthcare Dmerc
Other1039208Gateway Health Plan
Other600838Blue Cross
Medicaid0011990950009PA

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. Scott Lawrence Portnoy 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 ID7315970704
PECOS Enrollment IDI20051010000155
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 15

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.
192 services186 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.
178 services142 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.
132 services122 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.
101 services93 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).
100 services98 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.
58 services57 patients

Hospital Affiliations CMS Care Compare

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15065 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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 Portnoy's NPI number?

The NPI number for Scott Portnoy is 1144221102. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Scott Portnoy located?

Scott Portnoy practices at 2853 Freeport Road, Natrona Heights, PA 15065. The listed phone number is (724) 224-4240.

What is Scott Portnoy's specialty?

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

Is Scott Portnoy enrolled in Medicare?

Yes. Scott Portnoy 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 Scott Portnoy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Scott Portnoy 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 Scott Portnoy affiliated with any hospitals?

According to CMS data, Scott Portnoy is affiliated with Upmc St Margaret.

When was this NPI record last updated?

The NPPES record for Scott Portnoy was last updated on July 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.