SCOTT A MARKHAM D.O.
NPI 1700994308
Family Medicine in Harlan, IA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
1220 CHATBURN AVE, HARLAN, IA 51537(712) 755-5130(712) 755-4470 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott A Markham D.o. NPPES

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

SCOTT A MARKHAM D.O. (NPI 1700994308) is an individual family medicine provider in Harlan, Iowa, licensed in Iowa (2820) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1992).

NPPES Registry Identity

NPI1700994308
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT A MARKHAMCredential: D.O.
Location Address1220 CHATBURN AVEHarlan, IA 51537-2009
Mailing Address1213 Garfield AveHarlan, IA 51537-2057 · (712) 755-5161 · Fax (712) 755-4312
Fax(712) 755-4470
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1992
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 14, 2007
NPI 1700994308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 2820
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.
1220 CHATBURN AVE, Harlan, IA 51537

Other Identifiers 3

Medicare PINI4347IA
Medicare UPINF59271
Medicaid4112896IA

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 A Markham D.o. 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 ID8527017037
PECOS Enrollment IDI20050404000106
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 5

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients
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.
18 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Myrtue Medical Center

Critical Access Hospitals · Harlan, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161374
Location1213 Garfield AvenueHarlan, IA 51537 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51537 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 22

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
5 suppliers43 claims64 services$5.61 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 claims120 services$3.79 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers13 claims13 services$40.06 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$1.74 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers35 claims35 services$98.21 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers101 claims117 services$35.15 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.

Physician Assistant
1220 CHATBURN AVE
HARLAN, IA 51537
Family Medicine
1220 CHATBURN AVE
HARLAN, IA 51537
Family Medicine
1220 CHATBURN AVE
HARLAN, IA 51537
Counselor (Mental Health)
1220 CHATBURN AVE
HARLAN, IA 51537
Family Medicine
1220 CHATBURN AVE
HARLAN, IA 51537
Counselor (Mental Health)
1220 CHATBURN AVE
HARLAN, IA 51537
Nurse Practitioner
1220 CHATBURN AVE
HARLAN, IA 51537
Family Medicine
1220 CHATBURN AVE
HARLAN, IA 51537

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 Markham's NPI number?

The NPI number for Scott Markham is 1700994308. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Scott Markham located?

Scott Markham practices at 1220 Chatburn Ave, Harlan, IA 51537. The listed phone number is (712) 755-5130.

What is Scott Markham's specialty?

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

Is Scott Markham enrolled in Medicare?

Yes. Scott Markham 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 Markham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Scott Markham 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 Markham affiliated with any hospitals?

According to CMS data, Scott Markham is affiliated with Methodist Jennie Edmundson and Myrtue Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Markham was last updated on August 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.