SCOTT J. POWELL M.D.
NPI 1285637082
Surgery in Denton, TX
About Scott J. Powell M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT J. POWELL M.D. (NPI 1285637082) is an individual surgery provider in Denton, Texas, licensed in Texas (L8897) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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 J. Powell 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.
Medicare Billing Reassignment
Medicare enrollment records show Scott Powell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denton, TX 76205
- Reassigned Medicare billing, Texas enrollment
- 8 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DENTON, TX 76205
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 Powell's NPI number?
The NPI number for Scott Powell is 1285637082. It was assigned to this individual provider in the NPPES registry on May 24, 2005.
Where is Scott Powell located?
Scott Powell practices at 1725 S Interstate 35 E Ste 101, Denton, TX 76205. The listed phone number is (940) 808-0949.
What is Scott Powell's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Scott Powell enrolled in Medicare?
Yes. Scott Powell 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 Powell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Powell reassigns Medicare benefits to Powell And Fuselier Medical, PLLC (Denton, TX). 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 Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scott Powell accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Scott Powell 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.
When was this NPI record last updated?
The NPPES record for Scott Powell was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Scott J. Powell, M.D. · NPI 1285637082
Surgery physician in Denton, Texas. Individual provider, active in the CMS NPPES registry since May 24, 2005.
## Identity
- **NPI:** 1285637082 (Entity type: Individual)
- **Enumerated:** May 24, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** L8897 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1725 S INTERSTATE 35 E STE 101, Denton, TX 76205-6603
- **Phone:** (940) 808-0949 · **Fax:** (903) 438-2197
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Powell And Fuselier Medical, PLLC (NPI 1285067389, Denton, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 1998
## Record status
- **NPPES last updated:** July 28, 2022
- **Other identifiers:** Medicaid 168090201 (TX); Other 8S6184 (TX); Other P00282718 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1285637082) · Data from the CMS NPPES public registry.