JOHN SCULLY PA-C
NPI 1285182360
Physician Assistant in Las Vegas, NV

Active since September 16, 2016PECOS EnrolledAccepts Medicare Assignment
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(815) 219-6743 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Scully Pa-c NPPES

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

JOHN SCULLY PA-C (NPI 1285182360) is an individual physician assistant in Las Vegas, Nevada and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Southern Hills Hospital And Medical Center, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1285182360
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN SCULLYCredential: PA-C
Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2329
Mailing Address9300 W Sunset RdLas Vegas, NV 89148-4844
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 16, 2016
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1285182360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1800 W CHARLESTON BLVD, Las Vegas, NV 89102

Secondary Practice Location 1

Location 15380 S Rainbow Blvd Ste 306Las Vegas, NV 89118-1880 · Phone (702) 888-1188

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

John Scully Pa-c 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 ID9638459639
PECOS Enrollment IDI20161208002438
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
166 services99 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
16 services14 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Southern Hills Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290047
Location9300 West Sunset RdLas Vegas, NV 89148 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

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.

Internal Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Family Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Radiology (Diagnostic Radiology)
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Emergency Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Nurse Anesthetist, Certified Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102

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 John Scully's NPI number?

The NPI number for John Scully is 1285182360. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Where is John Scully located?

John Scully practices at 1800 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (815) 219-6743.

What is John Scully's specialty?

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

Is John Scully enrolled in Medicare?

Yes. John Scully 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 John Scully accept?

Health plans from Ambetter from Arizona Complete Health list John Scully 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 John Scully affiliated with any hospitals?

According to CMS data, John Scully is affiliated with Southern Hills Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for John Scully was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.