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DR. SCOTT THOMAS ORTH M.D.
NPI 1487651139
Orthopaedic Surgery in Sugar Land, TX

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
74.54/100
CMS Quality Rating
1350 CREEK WAY DR, SUGAR LAND, TX 77478(281) 207-4040(281) 207-4045 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2020, Oct 18, 2019 (2 updates tracked since 2019).

About Dr. Scott Thomas Orth M.d. NPPES

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

DR. SCOTT THOMAS ORTH M.D. (NPI 1487651139) is an individual orthopaedic surgery provider in Sugar Land, Texas, licensed in Texas (F9905) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Sugar Land Surgical Hospital Llp, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1981).

NPPES Registry Identity

NPI1487651139
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. SCOTT THOMAS ORTHCredential: M.D.
Location Address1350 CREEK WAY DRSugar Land, TX 77478-3384
Mailing Address1834 Forest Gate CirSugar Land, TX 77479-6182 · (281) 207-4040 · Fax (281) 207-4045
Phone(281) 207-4040
Fax(281) 207-4045
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1981
Enumeration DateJuly 7, 2005
Last NPPES UpdateJanuary 22, 20202 updates tracked since enumeration
✔ NPI 1487651139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · F9905
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1350 CREEK WAY DR, Sugar Land, TX 77478
Open in Google Maps ↗

Other Identifiers 1

Medicaid1357527-09TX

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. Scott Thomas Orth M.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 ID4981512266
PECOS Enrollment IDI20100226000653
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 Orth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Orthopedic Group, LLP
15 mi
Orthopaedic Surgery
6560 FANNIN ST, SUITE 1016
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1073644498 (713) 610-4270

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 5

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.

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.
61 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
34 services26 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Sugar Land Surgical Hospital LLP

Acute Care Hospitals · Sugar Land, TX
OwnershipPhysician
CMS Certification Number450860
Location16906 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

74.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.46
Promoting Interoperability100
Improvement Activities40
Cost44.68

Reported Quality Measures

Advance Care Plan
100%125 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
67%98 patients4/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%1,104 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%122 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 27% · 313 patients
Patients screened: 36% · 313 patients
27%41 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%356 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 129 patients
Patients totalRate: 0% · 129 patients
0%129 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. STEPHEN DE YOUNG M.D.
Orthopaedic Surgery
1350 CREEK WAY DR
SUGAR LAND, TX 77478
Fort Bend County (281) 494-1314

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 Orth's NPI number?

The NPI number for Scott Orth is 1487651139. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Scott Orth located?

Scott Orth practices at 1350 Creek Way Dr, Sugar Land, TX 77478. The listed phone number is (281) 207-4040.

What is Scott Orth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Scott Orth enrolled in Medicare?

Yes. Scott Orth 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 Orth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Orth reassigns Medicare benefits to Southwest Orthopedic Group, LLP (Houston, TX). 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 Orth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Scott Orth affiliated with any hospitals?

According to CMS data, Scott Orth is affiliated with Sugar Land Surgical Hospital LLP.

When was this NPI record last updated?

The NPPES record for Scott Orth was last updated on January 22, 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.