SCOTT CRUISE DO
NPI 1265990139
Emergency Medicine in Salem, OR

Q: What is Scott Cruise's NPI number?

The NPI number for Scott Cruise is 1265990139. It was assigned to this individual provider in the NPPES registry on March 8, 2019.

Q: What is Scott Cruise's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Cruise was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since March 08, 2019PECOS EnrolledAccepts Medicare Assignment

890 OAK ST SE BLDG A, SALEM, OR 97301(855) 691-9890 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2025, Mar 8, 2019 (2 updates tracked since 2019).

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About Scott Cruise Do NPPES

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

SCOTT CRUISE DO (NPI 1265990139) is an individual emergency medicine provider in Salem, Oregon, licensed in Oregon (DO224309) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265990139

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSCOTT CRUISECredential: DO

Location Address890 OAK ST SE BLDG ASalem, OR 97301-3905

Mailing Address200 Mullins DrLebanon, OR 97355-3983

Phone(855) 691-9890

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 8, 2019

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1265990139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OR · DO224309

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

890 OAK ST SE BLDG A, Salem, OR 97301

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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 Cruise Do 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 ID5294138459

PECOS Enrollment IDI20250529002199

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 Cruise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salem Emergency Physicians Service, PC

Same address

Emergency Medicine

890 OAK STREET, SE BUILDING 'A'
Salem, OR 97301

Reassigned Medicare billing, Oregon enrollment
47 clinicians in this Medicare group

NPI 1063454395 (503) 561-5634

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.

Salem Hospital

Acute Care Hospitals · Salem, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380051

Location890 Oak Street, SESalem, OR 97301 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

MR. CHRISTOPHER MICHAEL SIMPSON PA

Physician Assistant