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SCOTT STUCKEY
NPI 1164004628
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 24, 2021PECOS EnrolledAccepts Medicare Assignment
376 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8306 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2023, Apr 24, 2021 (2 updates tracked since 2021).

About Scott Stuckey NPPES

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

SCOTT STUCKEY (NPI 1164004628) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Saint Thomas Rutherford Hospital, and is a graduate of University Of Louisville School Of Medicine (2023).

NPPES Registry Identity

NPI1164004628
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSCOTT STUCKEY
Location Address376 W 10TH AVEColumbus, OH 43210-1280
Mailing Address376 W 10th AveColumbus, OH 43210-1280 · (614) 293-8306
Phone(614) 293-8306
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2023
Enumeration DateApril 24, 2021
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1164004628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
376 W 10TH AVE, Columbus, OH 43210
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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

Scott Stuckey 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 ID5799140570
PECOS Enrollment IDI20260313002745
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 Scott Stuckey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Middle Tennessee Emergency Physicians PC
336 mi
Emergency Medicine
2000 CHURCH STREET, EMERGENCY DEPT
Nashville, TN 37236
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Middle Tennessee Emergency Physicians, P.C.
  • 225 clinicians in this Medicare group
NPI 1194758979 (615) 284-5555

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

Hospital Affiliations CMS Care Compare

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

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440053
Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County
Emergency services Birthing friendly

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.

KUSHAL NANDAM M.D.
Emergency Medicine
376 W 10TH AVE, 760 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
ANDREW DAVID YOCUM M.D.
Emergency Medicine
376 W 10TH AVE, 750 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
JENNA LYNN GUNN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
KEVIN RIVERA
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8306
SPENCER TALENTINO
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
LEON LIN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3570
LOGAN ROEBKE
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
JOSHUA S EVERHART MD
Orthopaedic Surgery
376 W 10TH AVE, OHIO STATE UNIVERSITY MEDICAL CENTER
COLUMBUS, OH 43210
Franklin County (614) 293-6194

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 Stuckey's NPI number?

The NPI number for Scott Stuckey is 1164004628. It was assigned to this individual provider in the NPPES registry on April 24, 2021.

Where is Scott Stuckey located?

Scott Stuckey practices at 376 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8306.

What is Scott Stuckey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Scott Stuckey enrolled in Medicare?

Yes. Scott Stuckey 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 Scott Stuckey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Stuckey reassigns Medicare benefits to Middle Tennessee Emergency Physicians PC (Nashville, TN). 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 Scott Stuckey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Scott Stuckey affiliated with any hospitals?

According to CMS data, Scott Stuckey is affiliated with Saint Thomas Rutherford Hospital.

When was this NPI record last updated?

The NPPES record for Scott Stuckey was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.