DR. VINCENT MICHAEL SCARPINATO M.D.
NPI 1275614026
Surgery in Portsmouth, OH

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1711 27TH ST STE 402, PORTSMOUTH, OH 45662(740) 356-3562(740) 355-6938 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vincent Michael Scarpinato M.d. NPPES

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

DR. VINCENT MICHAEL SCARPINATO M.D. (NPI 1275614026) is an individual surgery provider in Portsmouth, Ohio, licensed in Ohio (35.089629) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of New York Medical College (1987).

NPPES Registry Identity

NPI1275614026
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. VINCENT MICHAEL SCARPINATOCredential: M.D.
Location Address1711 27TH ST STE 402Portsmouth, OH 45662-2669
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 353-7900
Fax(740) 355-6938
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1987
Enumeration DateOctober 18, 2006
Last NPPES UpdateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
NPI 1275614026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OH · 35.089629
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1711 27TH ST STE 402, Portsmouth, OH 45662

Other Identifiers 2

Medicaid2736543OH
Other1275614026OH · Npi

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. Vincent Michael Scarpinato M.d. 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 ID9830105907
PECOS Enrollment IDI20070621000408
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 9

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
318 services164 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.
121 services86 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Biopsy or removal of lymph nodes 38500
A biopsy or removal of lymph nodes is a procedure where a small sample of tissue is taken from your lymph nodes. This is done to check for diseases or infections. The process is usually quick and often performed under local anesthesia.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Other Providers at the Same Location NPPES 6

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

Surgery
1711 27TH ST STE 402
PORTSMOUTH, OH 45662
Surgery
1711 27TH ST STE 402
PORTSMOUTH, OH 45662
Surgery
1711 27TH ST STE 402
PORTSMOUTH, OH 45662
Surgery
1711 27TH ST STE 402
PORTSMOUTH, OH 45662
Surgery
1711 27TH ST STE 402
PORTSMOUTH, OH 45662
Surgery
1711 27TH ST STE 402
PORTSMOUTH, OH 45662

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 Vincent Scarpinato's NPI number?

The NPI number for Vincent Scarpinato is 1275614026. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Vincent Scarpinato located?

Vincent Scarpinato practices at 1711 27th St Ste 402, Portsmouth, OH 45662. The listed phone number is (740) 356-3562.

What is Vincent Scarpinato's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Vincent Scarpinato enrolled in Medicare?

Yes. Vincent Scarpinato 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 Vincent Scarpinato accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Vincent Scarpinato 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 Vincent Scarpinato affiliated with any hospitals?

According to CMS data, Vincent Scarpinato is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Vincent Scarpinato was last updated on December 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.