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SCOTT S PENGELLY PH.D.
NPI 1407978943
Psychologist - Clinical in Eugene, OR

Active since April 04, 2007PECOS EnrolledAccepts Medicare Assignment
2993 CHANDLER AVE, EUGENE, OR 97403(541) 913-1930(541) 284-5944 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2023, Jul 20, 2023 (2 updates tracked since 2023).

About Scott S Pengelly Ph.d. NPPES

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

SCOTT S PENGELLY PH.D. (NPI 1407978943) is an individual clinical provider in Eugene, Oregon, licensed in Oregon (798) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1407978943
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameSCOTT S PENGELLYCredential: PH.D.
Location Address2993 CHANDLER AVEEugene, OR 97403-3241
Mailing Address2993 Chandler AveEugene, OR 97403-3241 · (541) 913-1930 · Fax (541) 284-5944
Phone(541) 913-1930
Fax(541) 284-5944
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateApril 4, 2007
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1407978943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 798
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2993 CHANDLER AVE, Eugene, OR 97403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott S Pengelly Ph.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 ID7810167384
PECOS Enrollment IDI20110819000566
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 Scott Pengelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Psychological And Counseling Services LLC
223 mi
Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group
NPI 1912008178 (253) 752-7320

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

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
135 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97403 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
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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 Pengelly's NPI number?

The NPI number for Scott Pengelly is 1407978943. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Scott Pengelly located?

Scott Pengelly practices at 2993 Chandler Ave, Eugene, OR 97403. The listed phone number is (541) 913-1930.

What is Scott Pengelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Scott Pengelly enrolled in Medicare?

Yes. Scott Pengelly 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.

Which organization bills Medicare for Scott Pengelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Pengelly reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). 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 Scott Pengelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Pengelly accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Scott Pengelly 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.

When was this NPI record last updated?

The NPPES record for Scott Pengelly was last updated on August 23, 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.