SCOTT DAVID ETHRIDGE PA-C
NPI 1326228552
Physician Assistant - Medical in Charleston, WV

Q: What is Scott Ethridge's NPI number?

The NPI number for Scott Ethridge is 1326228552. It was assigned to this individual provider in the NPPES registry on November 5, 2007.

Q: What is Scott Ethridge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Scott Ethridge was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 05, 2007PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

3100 MACCORKLE AVE SE, SUITE 806, CHARLESTON, WV 25304(304) 344-9480(304) 344-9481 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Scott David Ethridge Pa-c NPPES

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

SCOTT DAVID ETHRIDGE PA-C (NPI 1326228552) is an individual medical provider in Charleston, West Virginia, licensed in West Virginia (01317) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1326228552

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSCOTT DAVID ETHRIDGECredential: PA-C

Location Address3100 MACCORKLE AVE SE, SUITE 806Charleston, WV 25304-1223

Mailing Address4619 Kanawha Ave Sw, Suite 806South Charleston, WV 25309-1319 · (304) 400-4545 · Fax (304) 400-4546

Phone(304) 344-9480

Fax(304) 344-9481

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 5, 2007

Last NPPES UpdateJanuary 24, 2017

✔ NPI 1326228552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WV · 01317

3100 MACCORKLE AVE SE, Charleston, WV 25304

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Other Identifiers 2

Medicare PINETPA29971WV

Medicare PINETPA29972WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Scott David Ethridge 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 ID9234229477

PECOS Enrollment IDI20071212000342

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 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.

230 services210 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.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.15 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims3,359 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers14 claims1,680 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

7 suppliers29 claims29 services$25.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DARSHANKUMAR ASHWINBHAI DAVE MD

Psychiatry & Neurology (Neurology)

3100 MACCORKLE AVE SE, SUITE 802
CHARLESTON, WV 25304

Kanawha County (304) 343-4400

DR. SCOTT EDWARD MILLER MD

Internal Medicine (Cardiovascular Disease)

3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304

Kanawha County (304) 346-1141

KURT M. NELLHAUS, M.D.

Internal Medicine (Pulmonary Disease)

3100 MACCORKLE AVE SE, SUITE 806
CHARLESTON, WV 25304

Kanawha County (304) 344-9480

NANCY RABEL CANTERBURY MA

Psychologist (Clinical)

3100 MACCORKLE AVE SE, SUITE 401
CHARLESTON, WV 25304

Kanawha County (304) 346-6161

AMANDA L. NEWCOMER NP-C

Nurse Practitioner (Family)

3100 MACCORKLE AVE SE, SUITE 301
CHARLESTON, WV 25304

Kanawha County (304) 388-5395

MR. KATHLEEN A MANNION PA

Physician Assistant

3100 MACCORKLE AVE SE, SUITE 411
CHARLESTON, WV 25304

Kanawha County (304) 343-7576

JENNIFER J. HANCOCK PSY D

Psychologist (Clinical)

3100 MACCORKLE AVE SE, SUITE 101
CHARLESTON, WV 25304

Kanawha County (304) 388-8380

MRS. STACY ANNETTE CHURCH PA-C

Physician Assistant (Medical)

3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304

Kanawha County (304) 346-1141

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 Ethridge's NPI number?

The NPI number for Scott Ethridge is 1326228552. It was assigned to this individual provider in the NPPES registry on November 5, 2007.

Where is Scott Ethridge located?

Scott Ethridge practices at 3100 Maccorkle Ave SE Suite 806, Charleston, WV 25304. The listed phone number is (304) 344-9480.

What is Scott Ethridge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Scott Ethridge enrolled in Medicare?

Yes. Scott Ethridge 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 Ethridge accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Scott Ethridge 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 Ethridge affiliated with any hospitals?

According to CMS data, Scott Ethridge is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Scott Ethridge was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.