SCOTT DONALD WILLOUGHBY FNP-C
NPI 1457897852
Nurse Practitioner - Family in Meridian, ID

Active since January 10, 2017PECOS EnrolledAccepts Medicare Assignment
4740 N. PENNGROVE WAY, STE. 100, MERIDIAN, ID 83646(208) 938-3663 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2020, Aug 23, 2019, Jan 10, 2017 (3 updates tracked since 2017).

About Scott Donald Willoughby Fnp-c NPPES

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

SCOTT DONALD WILLOUGHBY FNP-C (NPI 1457897852) is an individual family provider in Meridian, Idaho, licensed in Idaho (54825) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457897852
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSCOTT DONALD WILLOUGHBYCredential: FNP-C
Location Address4740 N. PENNGROVE WAY, STE. 100Meridian, ID 83646
Mailing Address4740 N Penngrove Way Ste 100Meridian, ID 83646-7446 · (208) 938-3663 · Fax (208) 938-3664
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 10, 2017
Last NPPES UpdateJanuary 20, 20203 updates tracked since enumeration
NPI 1457897852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · 54825
4740 N. PENNGROVE WAY, Meridian, ID 83646

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 Donald Willoughby Fnp-c 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 ID1951685866
PECOS Enrollment IDI20170221000909
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 11

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
341 services111 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
148 services36 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.
56 services49 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
53 services48 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
32 services18 patients
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.
31 services24 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83646 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

Family Medicine
4740 N. PENNGROVE WAY, STE. 100
MERIDIAN, ID 83646
Family Medicine
4740 N. PENNGROVE WAY, STE. 100
MERIDIAN, ID 83646

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 Willoughby's NPI number?

The NPI number for Scott Willoughby is 1457897852. It was assigned to this individual provider in the NPPES registry on January 10, 2017.

Where is Scott Willoughby located?

Scott Willoughby practices at 4740 N. Penngrove Way Ste. 100, Meridian, ID 83646. The listed phone number is (208) 938-3663.

What is Scott Willoughby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Scott Willoughby enrolled in Medicare?

Yes. Scott Willoughby 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.

What insurance does Scott Willoughby accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Scott Willoughby 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 Scott Willoughby affiliated with any hospitals?

According to CMS data, Scott Willoughby is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Willoughby was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.