DR. SCOTT W MERCER M.D.
NPI 1295736031
Family Medicine in Encinitas, CA

Active since August 02, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0996504 · Waiver
320 SANTA FE DR, SUITE 205, ENCINITAS, CA 92024(760) 944-8484 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott W Mercer M.d. NPPES

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

DR. SCOTT W MERCER M.D. (NPI 1295736031) is an individual family medicine provider in Encinitas, California, licensed in California (G47044) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 18, 2028, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1980).

NPPES Registry Identity

NPI1295736031
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT W MERCERCredential: M.D.
Location Address320 SANTA FE DR, SUITE 205Encinitas, CA 92024-5138
Mailing Address320 Santa Fe Dr, Suite 205Encinitas, CA 92024-5138 · (760) 944-8484
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1980
Enumeration DateAugust 2, 2005
Last NPPES UpdateMarch 30, 2009
NPI 1295736031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G47044
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
320 SANTA FE DR, Encinitas, CA 92024

Other Identifiers 2

Medicare PING47044CA
Medicare UPINA50579CA

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. Scott W Mercer 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 ID2567629504
PECOS Enrollment IDI20120203000018
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0996504

Scott W Nercer MD Inc · Encinitas, CA
Active · expires Feb 18, 2028
CLIA Number05D0996504
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorScott W. Mercer MD
Laboratory Phone(760) 944-8484
Laboratory LocationScott W Nercer MD Inc320 Santa Fe Drive Suite 205, Encinitas, CA 92024
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

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 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.
899 services331 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
390 services25 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
234 services34 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
194 services163 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
146 services146 patients
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.
138 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers19 claims19 services$34.13 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers15 claims86 services$15.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers23 claims23 services$46.99 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers14 claims14 services$15.98 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers22 claims132 services$1.75 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$41.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
320 SANTA FE DR, SUITE 204
ENCINITAS, CA 92024
Physician Assistant
320 SANTA FE DR, STE. 300
ENCINITAS, CA 92024
Specialist
320 SANTA FE DR, STE LL4
ENCINITAS, CA 92024
Specialist
320 SANTA FE DR, SUITE 310
ENCINITAS, CA 92024
Dermatology
320 SANTA FE DR, SUITE 310
ENCINITAS, CA 92024
Internal Medicine
320 SANTA FE DR, SUITE 308
ENCINITAS, CA 92024
Orthopaedic Surgery
320 SANTA FE DR, 301
ENCINITAS, CA 92024
Internal Medicine (Cardiovascular Disease)
320 SANTA FE DR, SUITE 204
ENCINITAS, CA 92024

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 Mercer's NPI number?

The NPI number for Scott Mercer is 1295736031. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Scott Mercer located?

Scott Mercer practices at 320 Santa Fe Dr Suite 205, Encinitas, CA 92024. The listed phone number is (760) 944-8484.

What is Scott Mercer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Mercer enrolled in Medicare?

Yes. Scott Mercer 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.

Does Scott Mercer hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0996504) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott Mercer was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.