DR. CLAYTON LJ SCARZELLA DMD
NPI 1508874975
Dentist - General Practice in Portland, OR

Q: What is Clayton Scarzella's NPI number?

The NPI number for Clayton Scarzella is 1508874975. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Clayton Scarzella's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Clayton Scarzella was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 03, 2006PECOS Enrolled

10102 NE GLISAN ST, PORTLAND, OR 97220(503) 257-5959(503) 408-1472 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Clayton Lj Scarzella Dmd NPPES

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

DR. CLAYTON LJ SCARZELLA DMD (NPI 1508874975) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D6515) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508874975

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CLAYTON LJ SCARZELLACredential: DMD

Location Address10102 NE GLISAN STPortland, OR 97220-4456

Mailing Address5105 N Concord AvePortland, OR 97217-3709 · (503) 289-0128

Phone(503) 257-5959

Fax(503) 408-1472

Sole ProprietorNo

Enumeration DateAugust 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508874975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D6515

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

10102 NE GLISAN ST, Portland, OR 97220

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clayton Lj Scarzella Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.

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.

LEANNA GRANDI DA

Dental Assistant