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SCOTT MIDDLETON M.D.
NPI 1497742621
Family Medicine in La Habra, CA

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
731 N BEACH BLVD, LA HABRA, CA 90631(562) 697-6030(562) 697-6263 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Middleton M.d. NPPES

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

SCOTT MIDDLETON M.D. (NPI 1497742621) is an individual family medicine provider in La Habra, California, licensed in California (A40533) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1497742621
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT MIDDLETONCredential: M.D.
Location Address731 N BEACH BLVDLa Habra, CA 90631-3657
Mailing Address279 E. Imperial Hwy, Suite 730Fullerton, CA 92835-1041 · (714) 449-4841 · Fax (714) 449-4956
Phone(562) 697-6030
Fax(562) 697-6263
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateOctober 3, 2005
Last NPPES UpdateApril 30, 2013
✔ NPI 1497742621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A40533
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
731 N BEACH BLVD, La Habra, CA 90631
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Other Identifiers 2

Medicare UPINE85224CA
Medicare PINWA40533FCA

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 Middleton 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 ID6305828427
PECOS Enrollment IDI20040602001716
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.

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.
589 services281 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.
336 services219 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
75 services75 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
72 services72 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 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.
63 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90631 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims62 services$6.56 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$9.39 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims220 services$7.78 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier12 claims170 services$3.25 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$14.90 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$767.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

ST JUDE HOSPITAL YORBA LINDA
Family Medicine
731 N BEACH BLVD
LA HABRA, CA 90631
Orange County (562) 697-6030
MICHAEL REUBEN MD
Pediatrics
731 N BEACH BLVD
LA HABRA, CA 90631
Orange County (562) 697-6030
DR. STEVEN R. IRWIN DDS
Dentist (General Practice)
731 N BEACH BLVD, SUITE 150
LA HABRA, CA 90631
Orange County (562) 697-2500
RACHEL CHO NP
Nurse Practitioner (Family)
731 N BEACH BLVD
LA HABRA, CA 90631
Orange County (562) 697-6030
DR. MOHAMMAD NABULSI M.D.
Family Medicine
731 N BEACH BLVD, STE 175
LA HABRA, CA 90631
Orange County (562) 697-6030
HARRIS MARRIAGE & FAMILY THERAPY INC
Marriage & Family Therapist
731 N BEACH BLVD, SUITE 209A
LA HABRA, CA 90631
Orange County (562) 690-4060
NICOLAS REY HERNANDEZ D.O.
Family Medicine
731 N BEACH BLVD
LA HABRA, CA 90631
Orange County (562) 697-6030

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 Middleton's NPI number?

The NPI number for Scott Middleton is 1497742621. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Scott Middleton located?

Scott Middleton practices at 731 N Beach Blvd, La Habra, CA 90631. The listed phone number is (562) 697-6030.

What is Scott Middleton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Middleton enrolled in Medicare?

Yes. Scott Middleton 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.

When was this NPI record last updated?

The NPPES record for Scott Middleton was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.