SCOTT PECKENPAUGH PA-C
NPI 1457900888
Physician Assistant - Medical in Silverdale, WA

Q: What is Scott Peckenpaugh's NPI number?

The NPI number for Scott Peckenpaugh is 1457900888. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Q: What is Scott Peckenpaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Scott Peckenpaugh was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 09, 2019PECOS Enrolled

2200 NW MYHRE RD, SILVERDALE, WA 98383(360) 744-4989 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 9, 2021, Apr 15, 2021, Sep 9, 2019 (3 updates tracked since 2019).

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About Scott Peckenpaugh Pa-c NPPES

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

SCOTT PECKENPAUGH PA-C (NPI 1457900888) is an individual medical provider in Silverdale, Washington, licensed in Washington (PA61130139) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in University Place.

NPPES Registry Identity

NPI1457900888

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSCOTT PECKENPAUGHCredential: PA-C

Location Address2200 NW MYHRE RDSilverdale, WA 98383-7681

Mailing Address3082 Se Grovewood StPort Orchard, WA 98367-9591 · (360) 509-3298

Phone(360) 744-4989

Sole ProprietorNo

Enumeration DateSeptember 9, 2019

Last NPPES UpdateSeptember 9, 20213 updates tracked since enumeration

NPPES CertifiedJune 4, 2021

✔ NPI 1457900888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA61130139

2200 NW MYHRE RD, Silverdale, WA 98383

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Secondary Practice Location 1

Location 13556 Market Pl W Ste 109University Place, WA 98466-4339 · Phone (253) 215-1095 · Fax (253) 215-1123

Other Identifiers 1

Medicaid2177392WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Peckenpaugh Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

90 services89 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

52 services52 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

16 services15 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services15 patients

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.

ANGELA DIAMOND MD

Surgery (Vascular Surgery)