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DR. SCOTT CRAIG POULTON M.D.
NPI 1386655686
Internal Medicine in Catonsville, MD

Active since August 11, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 21D0997103 · Microscopy
405 FREDERICK RD, SUITE 204, CATONSVILLE, MD 21228(410) 747-8773 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott Craig Poulton M.d. NPPES

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

DR. SCOTT CRAIG POULTON M.D. (NPI 1386655686) is an individual internal medicine provider in Catonsville, Maryland, licensed in Maryland (D0040012) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through September 7, 2026, and is affiliated with Saint Agnes Hospital.

NPPES Registry Identity

NPI1386655686
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SCOTT CRAIG POULTONCredential: M.D.
Location Address405 FREDERICK RD, SUITE 204Catonsville, MD 21228-4645
Mailing Address405 Frederick Rd Ste 200Catonsville, MD 21228-4647 · (410) 747-8773
Phone(410) 747-8773
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1986
Enumeration DateAugust 11, 2006
Last NPPES UpdateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1386655686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0040012
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
405 FREDERICK RD, Catonsville, MD 21228
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Other Identifiers 1

Medicaid0674214 00MD

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 Craig Poulton 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 ID9032394408
PECOS Enrollment IDI20110428000418
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0997103

Scott C Poulton MD · Catonsville, MD
Active · expires Sep 7, 2026
CLIA Number21D0997103
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorScott C. Poulton
Laboratory Phone(410) 747-8773
Laboratory LocationScott C Poulton MD405 Frederick Road Ste 204, Catonsville, MD 21228
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
382 services160 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.
375 services159 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.
280 services125 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
124 services122 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
123 services121 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 patients

Hospital Affiliations CMS Care Compare

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21228 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers13 claims27 services$6.31 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$77.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$42.36 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$15.54 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers14 claims14 services$10.89 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims104 services$2.03 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.

SUBURBAN MENTAL HEALTH ASSOCIATES
Clinic/Center (Mental Health (Including Community Mental Health Center))
405 FREDERICK RD, SUITE 251
BALTIMORE, MD 21228
Baltimore County (410) 788-3019
DR. JAY C GROCHMAL MD
Specialist
405 FREDERICK RD, SUITE 102
CATONSVILLE, MD 21228
Baltimore County (410) 744-5310
DAYSE IB DENTAL IV PC
Clinic/Center (Dental)
405 FREDERICK RD, SUITE 150
CATONSVILLE, MD 21228
Baltimore County (410) 747-0077
DR. MICHAEL REY HIPOLITO DMD
Dentist (General Practice)
405 FREDERICK RD, SUITE #108
CATONSVILLE, MD 21228
Baltimore County (410) 747-7495
JENNIFER WEIL LIFESTYLE COACH
Health Educator
405 FREDERICK RD
CATONSVILLE, MD 21228
Baltimore County (443) 979-0302
SHANELLE SMITH
Nurse Practitioner (Psychiatric/Mental Health)
405 FREDERICK RD, STE 162
CATONSVILLE, MD 21228
Baltimore County (443) 637-1007
CATONSVILLE PRIMARY CARE CENTER, PA
Pediatrics
405 FREDERICK RD, SUITE 210
CATONSVILLE, MD 21228
Baltimore County (410) 788-6565
DR. SHERRI L GRUNEBERG MD
Pediatrics
405 FREDERICK RD, SUITE 210
CATONSVILLE, MD 21228
Baltimore County (410) 788-6565

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 Poulton's NPI number?

The NPI number for Scott Poulton is 1386655686. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Scott Poulton located?

Scott Poulton practices at 405 Frederick Rd Suite 204, Catonsville, MD 21228. The listed phone number is (410) 747-8773.

What is Scott Poulton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Scott Poulton enrolled in Medicare?

Yes. Scott Poulton 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.

Does Scott Poulton hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0997103) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Scott Poulton affiliated with any hospitals?

According to CMS data, Scott Poulton is affiliated with Saint Agnes Hospital.

When was this NPI record last updated?

The NPPES record for Scott Poulton was last updated on February 1, 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.