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SCOTT MICHAEL DEDOE PA-C
NPI 1154669257
Physician Assistant in Port Huron, MI

Active since January 24, 2013PECOS Enrolled
75/100
CMS Quality Rating
1221 PINE GROVE AVE, EMERGENCY MEDICINE DEPARTMENT, PORT HURON, MI 48060(810) 989-3300(810) 985-2671 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott Michael Dedoe Pa-c NPPES

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

SCOTT MICHAEL DEDOE PA-C (NPI 1154669257) is an individual physician assistant in Port Huron, Michigan, licensed in Michigan (5601006596) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154669257
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT MICHAEL DEDOECredential: PA-C
Location Address1221 PINE GROVE AVE, EMERGENCY MEDICINE DEPARTMENTPort Huron, MI 48060-3511
Mailing Address1221 Pine Grove Ave, Emergency Medicine DepartmentPort Huron, MI 48060-3511 · (810) 989-3300 · Fax (810) 985-2671
Phone(810) 989-3300
Fax(810) 985-2671
Sole ProprietorNo
Enumeration DateJanuary 24, 2013
Last NPPES UpdateApril 13, 2016
✔ NPI 1154669257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601006596
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1221 PINE GROVE AVE, Port Huron, MI 48060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Michael Dedoe Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
20 services20 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

MS. MARGARET ANN GRESSLE ACNP-BC
Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-5000
TRI HOSPITAL MRI CENTER
Clinic/Center (Magnetic Resonance Imaging (MRI))
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-2428
AMY STOREY NP
Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-5000
DR. PETER Y TSENG MD
Obstetrics & Gynecology
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 985-2663
PHILIP ROSS LEPINE CRNA
Nurse Anesthetist, Certified Registered
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-5000
RICHARD CRILL MD
Emergency Medicine
1221 PINE GROVE AVE, PORT HURON HOSPITAL EMERGENCY DEPT
PORT HURON, MI 48060
St. Clair County (810) 987-5000
KURT BRINKER
Physical Therapist
1221 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 987-5000
MICHAEL K PAUL M.D.
Emergency Medicine
1221 PINE GROVE AVE, MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
PORT HURON, MI 48060
St. Clair County (810) 989-3300

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 Dedoe's NPI number?

The NPI number for Scott Dedoe is 1154669257. It was assigned to this individual provider in the NPPES registry on January 24, 2013.

Where is Scott Dedoe located?

Scott Dedoe practices at 1221 Pine Grove Ave Emergency Medicine Department, Port Huron, MI 48060. The listed phone number is (810) 989-3300.

What is Scott Dedoe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Dedoe enrolled in Medicare?

Yes. Scott Dedoe is registered in the Medicare PECOS enrollment system.

What insurance does Scott Dedoe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Scott Dedoe 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 Scott Dedoe was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.