SCOTT EDWARD WOODBURN DPM
NPI 1366528911
Podiatrist in Baltimore, MD

Active since October 27, 2006PECOS Enrolled
71.7/100
CMS Quality Rating
6569 NORTH CHARLES STREET, SUITE 702, BALTIMORE, MD 21204(410) 828-5420(410) 821-5833 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Edward Woodburn Dpm NPPES

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

SCOTT EDWARD WOODBURN DPM (NPI 1366528911) is an individual podiatrist in Baltimore, Maryland, licensed in Maryland (01023) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366528911
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameSCOTT EDWARD WOODBURNCredential: DPM
Location Address6569 NORTH CHARLES STREET, SUITE 702Baltimore, MD 21204
Mailing Address1 North Main StreetBel Air, MD 21014 · (410) 803-0788 · Fax (410) 803-1859
Fax(410) 821-5833
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
NPI 1366528911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MD · 01023
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6569 NORTH CHARLES STREET, Baltimore, MD 21204

Other Identifiers 3

OtherH792MD · Blue Cross
OtherE602MD · National Cap Blue
Medicaid288268000MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Scott Edward Woodburn Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
137 services121 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
118 services102 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.
62 services50 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.
61 services48 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.
57 services45 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
56 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

71.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50.19
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%266 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,770 patients5/55-star benchmark: 100%
e-Prescribing
98%155 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,333 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
8%2,690 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 734 patients
Patients screened: 91% · 734 patients
17%36 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
66%1,005 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%337 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 599 patients
Patients totalRate: 0% · 599 patients
0%599 patients5/55-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

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

Obstetrics & Gynecology
6569 NORTH CHARLES STREET, PPW 307
BALTIMORE, MD 21204

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 Woodburn's NPI number?

The NPI number for Scott Woodburn is 1366528911. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Scott Woodburn located?

Scott Woodburn practices at 6569 North Charles Street Suite 702, Baltimore, MD 21204. The listed phone number is (410) 828-5420.

What is Scott Woodburn's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Scott Woodburn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Scott Woodburn was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.