SCOTT WILLIAM BARRY PA-C
NPI 1710947874
Physician Assistant - Surgical in Denver, CO

Q: What is Scott Barry's NPI number?

The NPI number for Scott Barry is 1710947874. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Scott Barry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Scott Barry was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 24, 2006PECOS EnrolledAccepts Medicare Assignment

777 BANNOCK ST # MC3240, DENVER, CO 80204(303) 436-6000 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jan 19, 2023, Oct 12, 2020 and 3 more (6 updates tracked since 2019).

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About Scott William Barry Pa-c NPPES

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

SCOTT WILLIAM BARRY PA-C (NPI 1710947874) is an individual surgical provider in Denver, Colorado, licensed in Wisconsin (3112-23) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1710947874

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameSCOTT WILLIAM BARRYCredential: PA-C

Location Address777 BANNOCK ST # MC3240Denver, CO 80204-4597

Mailing Address6036 N 19th Ave Ste 505Phoenix, AZ 85015-2143 · (022) 490-8396 · Fax (602) 249-0979

Phone(303) 436-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateMarch 24, 2006

Last NPPES UpdateJune 20, 20236 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1710947874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in WI · 3112-23✔ Licensed in NM · PA2020-0012✔ Licensed in MD · C08711

Also ListedPhysician AssistantTaxonomy 363A00000X · License PAC0206 (ND), 97 (MT)

777 BANNOCK ST # MC3240, Denver, CO 80204

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Secondary Practice Locations 3

Location 12635 N 7th StGrand Jct, CO 81501-8209 · Phone (970) 298-3188

Location 26036 N 19th Ave Ste 505Phoenix, AZ 85015-2143 · Phone (602) 249-0839 · Fax (602) 249-0979

Location 3100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 546-6400

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 William Barry Pa-c 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 ID5294991964

PECOS Enrollment IDI20160218002281

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.

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.

ANDREA BISHOP NAVARRE RPA-C

Physician Assistant (Medical)