DONALD WILLIAM SCOTT SR. MD
NPI 1346229390
Internal Medicine - Rheumatology in Gainesville, FL

Active since January 10, 2006PECOS Enrolled
77.36/100
CMS Quality Rating
4343 W NEWBERRY RD, SUITE 8, GAINESVILLE, FL 32607(352) 378-5173(352) 375-2330 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald William Scott Sr. Md NPPES

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

DONALD WILLIAM SCOTT SR. MD (NPI 1346229390) is an individual rheumatology provider in Gainesville, Florida, licensed in Florida (ME78979) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Eastern Virginia Medical School (1987).

NPPES Registry Identity

NPI1346229390
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDONALD WILLIAM SCOTT SR.Credential: MD
Location Address4343 W NEWBERRY RD, SUITE 8Gainesville, FL 32607-2817
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 373-6338 · Fax (352) 373-6144
Fax(352) 375-2330
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1987
Enumeration DateJanuary 10, 2006
Last NPPES UpdateDecember 9, 2009
✔ NPI 1346229390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME78979
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4343 W NEWBERRY RD, Gainesville, FL 32607

Other Identifiers 3

Medicare UPINE70616FL
Medicare ID-Type Unspecified49482FL
Medicaid257639200FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald William Scott Sr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789664640
PECOS Enrollment IDI20040721001259
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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Scott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Internal Medicine
4343 W NEWBERRY RD
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 141 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 57

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
43,200 services14 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
16,741 services169 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.
1,864 services772 patients
Measurement of antibody for assessment of autoimmune disorder, any method 86235
This procedure measures the level of specific antibodies in your body to assess if you have an autoimmune disorder. Antibodies are proteins your immune system produces. In autoimmune disorders, these antibodies mistakenly attack your own cells. This test helps identify such conditions.
1,104 services125 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.
805 services487 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
568 services368 patients

Hospital Affiliations CMS Care Compare 4

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Doctors Memorial Hospital Inc

Critical Access Hospitals · Perry, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101314
Location333 N Byron Butler PkwyPerry, FL 32347 · Taylor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32607 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.39
Promoting Interoperability66
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%268 patients
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%192 patients
Breast Cancer Screening
2%907 patients1/55-star benchmark: 93%
Cervical Cancer Screening
3%544 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
4%1,373 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
80%501 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
8%142 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
54%142 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,893 patients5/55-star benchmark: 100%
e-Prescribing
99%968 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
83%1,160 patients4/55-star benchmark: 100%
HIV Screening
0%1,037 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
75%2,128 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
10%1,931 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%3,370 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 53% · 1,683 patients
Patients screened: 55% · 1,683 patients
52%85 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%1,051 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%351 patients3/55-star benchmark: 91%
Support Electronic Referral Loops By Sending Health Information
4%256 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier18 claims18 services$68.89 avg. paid by Medicare
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
1 supplier11 claims12 services$39.46 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.

Massage Therapist
4343 W NEWBERRY RD, STE #4
GAINESVILLE, FL 32607
Physician Assistant
4343 W NEWBERRY RD, SUITE 10
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 12
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 8
GAINESVILLE, FL 32607
Obstetrics & Gynecology (Gynecology)
4343 W NEWBERRY RD, SUITE 16
GAINESVILLE, FL 32607
Hospitalist
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Family Medicine
4343 W NEWBERRY RD
GAINESVILLE, FL 32607

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 Donald Scott's NPI number?

The NPI number for Donald Scott is 1346229390. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Donald Scott located?

Donald Scott practices at 4343 W Newberry Rd Suite 8, Gainesville, FL 32607. The listed phone number is (352) 378-5173.

What is Donald Scott's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Donald Scott enrolled in Medicare?

Yes. Donald Scott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Scott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Scott reassigns Medicare benefits to Simedhealth LLC (Gainesville, FL). 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 Donald Scott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Scott accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Donald 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 Donald Scott affiliated with any hospitals?

According to CMS data, Donald Scott is affiliated with Uf Health Shands Hospital, Hca Florida Lake City Hospital, Hca Florida North Florida Hospital and Doctors Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Donald Scott was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.