DR. ALBERT SCOTT JR. M.D.
NPI 1306839808
Obstetrics & Gynecology in Decatur, GA

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
1458 CHURCH ST STE B, DECATUR, GA 30030(404) 508-2000(404) 508-5560 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2024, Jul 5, 2024, Oct 15, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Albert Scott Jr. M.d. NPPES

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

DR. ALBERT SCOTT JR. M.D. (NPI 1306839808) is an individual obstetrics & gynecology provider in Decatur, Georgia, licensed in Georgia (32293) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1306839808
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ALBERT SCOTT JR.Credential: M.D.
Location Address1458 CHURCH ST STE BDecatur, GA 30030-1672
Mailing Address1458 Church St Ste BDecatur, GA 30030-1672 · (404) 376-4155 · Fax (404) 508-5560
Fax(404) 508-5560
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 30, 2005
Last NPPES UpdateDecember 23, 20245 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1306839808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 32293
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1458 CHURCH ST STE B, Decatur, GA 30030

Other Identifiers 2

Medicaid000403653CGA
Medicaid000403653HGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Albert Scott Jr. 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 ID2668423591
PECOS Enrollment IDI20050208000647
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 2

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.
15 services11 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Reported Quality Measures

Breast Cancer Screening
47%540 patients3/55-star benchmark: 93%
Cervical Cancer Screening
89%3,466 patients4/55-star benchmark: 98%
Controlling High Blood Pressure
56%87 patients3/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%3,425 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
46%5,749 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 3,276 patients
Patients screened: 93% · 3,276 patients
17%226 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Obstetrics & Gynecology
1458 CHURCH ST STE B
DECATUR, GA 30030
Obstetrics & Gynecology
1458 CHURCH ST STE B
DECATUR, GA 30030
Obstetrics & Gynecology
1458 CHURCH ST STE B
DECATUR, GA 30030
Advanced Practice Midwife
1458 CHURCH ST STE B
DECATUR, GA 30030
Nurse Practitioner (Obstetrics & Gynecology)
1458 CHURCH ST STE B
DECATUR, GA 30030
Nurse Practitioner (Women's Health)
1458 CHURCH ST STE B
DECATUR, GA 30030
Obstetrics & Gynecology
1458 CHURCH ST STE B
DECATUR, GA 30030
Obstetrics & Gynecology
1458 CHURCH ST STE B
DECATUR, GA 30030

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 Albert Scott's NPI number?

The NPI number for Albert Scott is 1306839808. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Albert Scott located?

Albert Scott practices at 1458 Church St Ste B, Decatur, GA 30030. The listed phone number is (404) 508-2000.

What is Albert Scott's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Albert Scott enrolled in Medicare?

Yes. Albert Scott 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 Albert Scott accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Albert Scott 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 Albert Scott affiliated with any hospitals?

According to CMS data, Albert Scott is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Albert Scott was last updated on December 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.