DR. SCOTT ANDREW VADALA MD
NPI 1316442973
Ophthalmology - Cornea and External Diseases Specialist in Oklahoma City, OK

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
93.26/100
CMS Quality Rating
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-1095(405) 271-1926 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2023, Jul 11, 2019, Mar 27, 2018 (3 updates tracked since 2018).

About Dr. Scott Andrew Vadala Md NPPES

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

DR. SCOTT ANDREW VADALA MD (NPI 1316442973) is an individual cornea and external diseases specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (39147) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2018).

NPPES Registry Identity

NPI1316442973
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameDR. SCOTT ANDREW VADALACredential: MD
Location Address608 STANTON L YOUNG BLVDOklahoma City, OK 73104-5065
Mailing Address608 Stanton L Young BlvdOklahoma City, OK 73104-5065 · (405) 271-1095
Fax(405) 271-1926
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1316442973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License Licensed in OK · 39147
Definition

An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Also ListedOphthalmologyTaxonomy 207W00000X · License 39147 (OK)
608 STANTON L YOUNG BLVD, Oklahoma City, OK 73104

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. Scott Andrew Vadala Md 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 ID941534978
PECOS Enrollment IDI20220518002968
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.
154 services80 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.
65 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 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.
51 services51 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
26 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services18 patients

Hospital Affiliations CMS Care Compare

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

93.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.76
Improvement Activities40
Cost100

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.

Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104

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 Vadala's NPI number?

The NPI number for Scott Vadala is 1316442973. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Scott Vadala located?

Scott Vadala practices at 608 Stanton L Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-1095.

What is Scott Vadala's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Scott Vadala enrolled in Medicare?

Yes. Scott Vadala 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 Scott Vadala accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and Oscar Insurance Company and 1 other insurer list Scott Vadala 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 Scott Vadala affiliated with any hospitals?

According to CMS data, Scott Vadala is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Vadala was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.