DR. SCOTT N. PINCHOT M.D.
NPI 1598713158
Colon & Rectal Surgery in Arlington Heights, IL

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
880 W CENTRAL RD STE 5000, ARLINGTON HEIGHTS, IL 60005(847) 618-3800(847) 618-3809 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, May 10, 2021, Mar 3, 2020 (3 updates tracked since 2020).

About Dr. Scott N. Pinchot M.d. NPPES

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

DR. SCOTT N. PINCHOT M.D. (NPI 1598713158) is an individual colon & rectal surgery provider in Arlington Heights, Illinois, licensed in Illinois (036133588) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Medical College Of Wisconsin (2005).

NPPES Registry Identity

NPI1598713158
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. SCOTT N. PINCHOTCredential: M.D.
Location Address880 W CENTRAL RD STE 5000Arlington Heights, IL 60005-2355
Mailing Address880 W Central Rd Ste 500Arlington Heights, IL 60005-2355 · (847) 618-3800 · Fax (847) 618-3809
Fax(847) 618-3809
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2005
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 9, 20243 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
NPI 1598713158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in IL · 036133588
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 1568 (WI), 036133588 (IL)
880 W CENTRAL RD STE 5000, Arlington Heights, IL 60005

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

Dr. Scott N. Pinchot 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 ID4183867054
PECOS Enrollment IDI20130823001204
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
182 services84 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.
69 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services63 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
58 services50 patients
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.
49 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers32 claims800 services$4.84 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390
DME-Orthotic Devices · category DF010N
2 suppliers17 claims165 services$8.58 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
4 suppliers18 claims599 services$1.43 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers15 claims750 services$0.22 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 20

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

Nurse Practitioner
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 60005
Surgery
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 60005
Physician Assistant (Surgical)
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 60005
Urology
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 60005
Physician Assistant (Surgical)
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 60005
Colon & Rectal Surgery
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 60005
Urology
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 60005
Physician Assistant (Surgical)
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 60005

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 Pinchot's NPI number?

The NPI number for Scott Pinchot is 1598713158. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Scott Pinchot located?

Scott Pinchot practices at 880 W Central Rd Ste 5000, Arlington Heights, IL 60005. The listed phone number is (847) 618-3800.

What is Scott Pinchot's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Scott Pinchot enrolled in Medicare?

Yes. Scott Pinchot 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 Pinchot accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Scott Pinchot 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.

Is Scott Pinchot affiliated with any hospitals?

According to CMS data, Scott Pinchot is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Scott Pinchot was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.