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DR. MICHAEL JAMES SCOTT D.O.
NPI 1457677023
Internal Medicine - Pulmonary Disease in Broken Arrow, OK

Active since April 08, 2010PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1245 N BIRCH AVE, BROKEN ARROW, OK 74012(918) 294-3278(918) 480-2220 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, Sep 16, 2024, Feb 15, 2023 and 3 more (6 updates tracked since 2017).

About Dr. Michael James Scott D.o. NPPES

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

DR. MICHAEL JAMES SCOTT D.O. (NPI 1457677023) is an individual pulmonary disease provider in Broken Arrow, Oklahoma, licensed in Oklahoma (6251) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and maintains a secondary practice location in Owasso.

NPPES Registry Identity

NPI1457677023
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHAEL JAMES SCOTTCredential: D.O.
Location Address1245 N BIRCH AVEBroken Arrow, OK 74012-2690
Mailing Address1245 N Birch AveBroken Arrow, OK 74012-2690 · (918) 294-3278
Phone(918) 294-3278
Fax(918) 480-2220
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 8, 2010
Last NPPES UpdateMay 13, 20256 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1457677023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OK · 6251
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 6251 (OK)
1245 N BIRCH AVE, Broken Arrow, OK 74012
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Secondary Practice Location 1

Location 112455 E 100th St N Ste 260Owasso, OK 74055-4676 · Phone (918) 294-3278

Other Identifiers 1

Medicaid200721780AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan 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

Dr. Michael James Scott D.o. 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 ID9032382643
PECOS Enrollment IDI20170823003007, I20241119000560
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 Reassignments

8

Medicare enrollment records show Michael Scott reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ok Pulmonary Care, LLC
Same address
Pulmonary Disease
1245 N BIRCH AVE
Broken Arrow, OK 74012
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1003521220 (918) 221-1631
Usacs Critical Care Medicine Of Oklahoma, LLC
1.1 mi
Critical Care Medicine
1000 W BOISE CIR
Broken Arrow, OK 74012
  • Reassigned Medicare billing, Oklahoma enrollment
  • 48 clinicians in this Medicare group
NPI 1255166856 (844) 474-4019
Warren Clinic Inc
7.3 mi
General Practice
6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,144 clinicians in this Medicare group
NPI 1174582282 (918) 488-6001
Ahs Oklahoma Physician Group LLC
11 mi
Family Medicine
1120 S UTICA AVE STE 100
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 340 clinicians in this Medicare group
NPI 1235182775 (918) 579-3826
Cherokee Nation
20 mi
Multi-Specialty
101 S MOORE AVE
Claremore, OK 74017
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1497568968 (539) 234-1000
Wagoner Hospital Authority
24 mi
General Acute Care Hospital
1200 W CHEROKEE ST
Wagoner, OK 74467
  • Reassigned Medicare billing, Oklahoma enrollment
  • 30 clinicians in this Medicare group
NPI 1386611580 (918) 485-5514
Sound Physicians Of Illinois, LLC
348 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Nuview Health Indiana PC
1,141 mi
Critical Care Medicine
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, Arizona enrollment
  • 36 clinicians in this Medicare group
NPI 1215496336 (561) 299-3667

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
87 services44 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
84 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 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.
25 services21 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

OK PULMONARY CARE, LLC
Internal Medicine (Pulmonary Disease)
1245 N BIRCH AVE
BROKEN ARROW, OK 74012
Tulsa County (918) 221-1631
MOLLY KATE MERTZ PA-C
Physician Assistant
1245 N BIRCH AVE
BROKEN ARROW, OK 74012
Tulsa County (918) 294-3278

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 Michael Scott's NPI number?

The NPI number for Michael Scott is 1457677023. It was assigned to this individual provider in the NPPES registry on April 8, 2010.

Where is Michael Scott located?

Michael Scott practices at 1245 N Birch Ave, Broken Arrow, OK 74012. The listed phone number is (918) 294-3278.

What is Michael Scott's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Scott enrolled in Medicare?

Yes. Michael Scott 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 organizations bill Medicare for Michael Scott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Scott reassigns Medicare benefits to 8 organizations: Ok Pulmonary Care, LLC (Broken Arrow, OK), Usacs Critical Care Medicine Of Oklahoma, LLC (Broken Arrow, OK), Warren Clinic Inc (Tulsa, OK), Ahs Oklahoma Physician Group LLC (Tulsa, OK), Cherokee Nation (Claremore, OK) and 3 more organizations, listed in the Medicare section above. Each 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 Michael Scott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Scott accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Michael 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 Michael Scott affiliated with any hospitals?

According to CMS data, Michael Scott is affiliated with Hillcrest Medical Center, Ascension St John Jane Phillips, Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Michael Scott was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.