SCOTT B LOVELESS MD
NPI 1659378636
Specialist in Winfield, AL

NPI Status: Active since July 05, 2005

Contact Information

1530 US HIGHWAY 43
WINFIELD, AL
ZIP 35594
Phone: (205) 870-0123

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  • Individual
  • Male
  • Years of Experience 44
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About SCOTT LOVELESS

This page provides the complete NPI Profile along with additional information for Scott Loveless, a provider established in Winfield, Alabama with a medical specialization in Specialist and more than 44 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 1982. The healthcare provider is registered in the NPI registry with number 1659378636 assigned on July 2005. The practitioner's primary taxonomy code is 174400000X with license number 15064 (AL). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1659378636
Provider Name
SCOTT B LOVELESS MD
Gender
Male
Entity Type
Individual
Location Address
1530 US HIGHWAY 43 WINFIELD, AL 35594
Location Phone
(205) 870-0123
Mailing Address
2000A SOUTHBRIDGE PKWY STE 300 BIRMINGHAM, AL 35209
Mailing Phone
(205) 871-4274
Mailing Fax
Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year
1982
Is Sole Proprietor?
No
Enumeration Date
07-05-2005
Last Update Date
12-30-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
15064
License State
AL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Standardized Statewide Silver EPO - EPO
  • Blue Statewide Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
168103MEDICAID (05)AL 
30013182OTHER (01)ALRRMC
A96871MEDICARE UPIN (02) 
000096654MEDICARE PIN (08)AL 
510-96654OTHER (01)ALBLUE CROSS
000096654MEDICAID (05)AL 
631247115OTHER (01)ALAETNA
511-01551OTHER (01)ALBLUE CROSS

Medicare Participation & PECOS Enrollment Status

Scott Loveless is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Scott Loveless is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6608765813

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040315000770, I20141008001224, I20230510000393, I20230510000470, I20230511000781, I20250320003331, I20250709000262, I20250826001505, I20251012000042

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 15 times for 15 patients

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 20 times for 19 patients

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Reviews for SCOTT B LOVELESS MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659378636, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 6 + 7 + 1 + 6 + 6 + 6 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1659378636.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1530 US HIGHWAY 43
WINFIELD, AL 35594
Emergency Medicine (Emergency Medical Services)
1530 US HIGHWAY 43
WINFIELD, AL 35594
Dietitian, Registered
1530 US HIGHWAY 43
WINFIELD, AL 35594
Nurse Practitioner
1530 US HIGHWAY 43
WINFIELD, AL 35594
Psychiatric Hospital
1530 US HIGHWAY 43
WINFIELD, AL 35594
Ambulance (Land Transport)
1530 US HIGHWAY 43
WINFIELD, AL 35594
Anesthesiology
1530 US HIGHWAY 43
WINFIELD, AL 35594
Emergency Medicine (Emergency Medical Services)
1530 US HIGHWAY 43
WINFIELD, AL 35594
Anesthesiology
1530 US HIGHWAY 43
WINFIELD, AL 35594
Hospitalist
1530 US HIGHWAY 43
WINFIELD, AL 35594
Internal Medicine
1530 US HIGHWAY 43
WINFIELD, AL 35594
Physician Assistant
1530 US HIGHWAY 43
WINFIELD, AL 35594
Nurse Practitioner (Family)
1530 US HIGHWAY 43
WINFIELD, AL 35594
Emergency Medicine (Emergency Medical Services)
1530 US HIGHWAY 43
WINFIELD, AL 35594
Specialist
1530 US HIGHWAY 43
WINFIELD, AL 35594
Specialist
1530 US HIGHWAY 43
WINFIELD, AL 35594
Anesthesiology
1530 US HIGHWAY 43
WINFIELD, AL 35594
Dietitian, Registered
1530 US HIGHWAY 43
WINFIELD, AL 35594
Radiology (Diagnostic Radiology)
1530 US HIGHWAY 43
WINFIELD, AL 35594
Emergency Medicine
1530 US HIGHWAY 43
WINFIELD, AL 35594

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659378636, enumerated as an "individual" on July 05, 2005.

The provider is located at 1530 US HIGHWAY 43 WINFIELD, AL 35594 and the phone number is (205) 870-0123.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, CareSource,. Please consult your insurance carrier or call the provider to verify.