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: July 19, 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
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

Accepted 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 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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

The NPI number assigned to this healthcare provider is 1407978943, enumerated as an "individual" on April 04, 2007.

The provider is located at 2993 CHANDLER AVE EUGENE, OR 97403 and the phone number is (541) 913-1930.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.