SCOTT J IHDE PA
NPI 1508094343
Physician Assistant in Durham, NC

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
87.2/100
CMS Quality Rating
4111 BEN FRANKLIN BLVD, DURHAM, NC 27704(919) 782-3456(919) 783-1441 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, Sep 18, 2019 (2 updates tracked since 2019).

About Scott J Ihde Pa NPPES

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

SCOTT J IHDE PA (NPI 1508094343) is an individual physician assistant in Durham, North Carolina, licensed in North Carolina (0010-09408) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1508094343
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT J IHDECredential: PA
Location Address4111 BEN FRANKLIN BLVDDurham, NC 27704-2141
Mailing Address1540 Sunday DrRaleigh, NC 27607-6010 · (919) 782-3456 · Fax (919) 783-1441
Fax(919) 783-1441
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 1, 2009
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1508094343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-09408
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2446 (WI), 10972 (MN)
4111 BEN FRANKLIN BLVD, Durham, NC 27704

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 J Ihde Pa 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 ID9537213459
PECOS Enrollment IDI20191023001809
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.

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.
281 services176 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.
198 services170 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
16 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.93
Promoting Interoperability100
Improvement Activities40
Cost93.42

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%247 patients5/55-star benchmark: 100%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
100%83 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,162 patients5/55-star benchmark: 100%
Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy
All female patients of childbearing potential (12 - 44 years old) diagnosed with epilepsy who were counseled or referred for counseling for how epilepsy and its treatment may affect contraception OR pregnancy at least once a year
47%32 patients
Exercise and Appropriate Physical Activity Counseling for Patients with MS
Percentage of patients with MS who are counseled* on the benefits of exercise and appropriate physical activity for patients with MS in the past 12 months.
94%34 patients
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
98%247 patients4/55-star benchmark: 99%
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
76%185 patients4/55-star benchmark: 90%
Parkinson's Disease: Rehabilitative Therapy Options
Percentage of all patients with a diagnosis of Parkinson's Disease (or caregiver(s), as appropriate) who had rehabilitative therapy options (e.g., physical, occupational, or speech therapy) discussed in the past 12 months
97%34 patients4/55-star benchmark: 100%
Screening for Psychiatric or Behavioral Health Disorders
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
100%322 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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers110 claims110 services$35.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers51 claims51 services$87.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers55 claims151 services$33.14 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers27 claims144 services$18.96 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers33 claims174 services$15.16 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers61 claims61 services$54.58 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 12

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

Psychiatry & Neurology (Neurology)
4111 BEN FRANKLIN BLVD
DURHAM, NC 27704
Counselor (Professional)
4111 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychiatry & Neurology (Neurology)
4111 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychiatry & Neurology (Neurology)
4111 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychiatry & Neurology (Neurology)
4111 BEN FRANKLIN BLVD
DURHAM, NC 27704
Physical Therapist
4111 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychiatry & Neurology (Neurology)
4111 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychiatry & Neurology (Neurology)
4111 BEN FRANKLIN BLVD, RALEIGH NEUROLOGY
DURHAM, NC 27704

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 Ihde's NPI number?

The NPI number for Scott Ihde is 1508094343. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Scott Ihde located?

Scott Ihde practices at 4111 Ben Franklin Blvd, Durham, NC 27704. The listed phone number is (919) 782-3456.

What is Scott Ihde's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Ihde enrolled in Medicare?

Yes. Scott Ihde 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 Ihde accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and UnitedHealthcare list Scott Ihde 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.

When was this NPI record last updated?

The NPPES record for Scott Ihde was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.