SCOTT ABEDI MD
NPI 1164781613
Radiology - Diagnostic Radiology in Durham, NC

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
3022 CROASDAILE DR, DURHAM, NC 27705(303) 708-3050 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2021, Aug 11, 2020, Dec 11, 2018 and 1 more (4 updates tracked since 2018).

About Scott Abedi Md NPPES

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

SCOTT ABEDI MD (NPI 1164781613) is an individual diagnostic radiology provider in Durham, North Carolina, licensed in North Carolina (2014-00811) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2012).

NPPES Registry Identity

NPI1164781613
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSCOTT ABEDICredential: MD
Location Address3022 CROASDAILE DRDurham, NC 27705-6802
Mailing Address3022 Croasdaile DrDurham, NC 27705-6802 · (303) 708-3050
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2012
Enumeration DateMay 3, 2012
Last NPPES UpdateJune 7, 20214 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1164781613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NC · 2014-00811✔ Licensed in VA · 0101268879
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3022 CROASDAILE DR, Durham, NC 27705

Accepted 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

Scott Abedi 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 ID4183849458
PECOS Enrollment IDI20241118000000, I20241205003956
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 Reassignments

2

Medicare enrollment records show Scott Abedi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
142 S MAIN ST
Danville, VA 24541
  • Reassigned Medicare billing, Virginia enrollment
  • 4 clinicians in this Medicare group
Diagnostic Radiology
95 HIGHLAND AVE, SUITE 130
Bethlehem, PA 18017
  • Reassigned Medicare billing, North Carolina and New Jersey enrollments
  • 5 clinicians in this Medicare group

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 7

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
138 services119 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
54 services54 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
31 services31 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
18 services18 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
18 services18 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
3022 CROASDAILE DR, , SUITE 200
DURHAM, NC 27705
Radiology (Diagnostic Radiology)
3022 CROASDAILE DR
DURHAM, NC 27705
Psychologist (Clinical)
3022 CROASDAILE DR
DURHAM, NC 27705
Radiology (Diagnostic Radiology)
3022 CROASDAILE DR
DURHAM, NC 27705

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 Abedi's NPI number?

The NPI number for Scott Abedi is 1164781613. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Scott Abedi located?

Scott Abedi practices at 3022 Croasdaile Dr, Durham, NC 27705. The listed phone number is (303) 708-3050.

What is Scott Abedi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Scott Abedi enrolled in Medicare?

Yes. Scott Abedi 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 organizations bill Medicare for Scott Abedi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Abedi reassigns Medicare benefits to 2 organizations: Danville Radiologists Inc (Danville, VA) and Progressive Physician Assoc Inc (Bethlehem, PA). Each 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 Abedi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Abedi accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Texas list Scott Abedi 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 Abedi affiliated with any hospitals?

According to CMS data, Scott Abedi is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health, St Luke's Hospital - Monroe Campus and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Scott Abedi was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.