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DR. SCOTT L HARTSHORN M.D.
NPI 1730269325
Family Medicine in St Thomas, VI

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
86.73/100
CMS Quality Rating
9149 ESTATE THOMAS STE 203, ST THOMAS, VI 00802(340) 776-8989(340) 776-8384 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Scott L Hartshorn M.d. NPPES

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

DR. SCOTT L HARTSHORN M.D. (NPI 1730269325) is an individual family medicine provider in St Thomas, Virgin Islands, licensed in Virgin Islands (1002) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Roy Lester Schneider Hospital,the, and is a graduate of Medical University Of South Carolina College Of Medicine (1993).

NPPES Registry Identity

NPI1730269325
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT L HARTSHORNCredential: M.D.
Location Address9149 ESTATE THOMAS STE 203St Thomas, VI 00802-2687
Mailing Address9149 Estate Thomas Ste 203St Thomas, VI 00802-2687 · (340) 776-8989 · Fax (340) 776-8384
Phone(340) 776-8989
Fax(340) 776-8384
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1993
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730269325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VI · 1002
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.
9149 ESTATE THOMAS STE 203, St Thomas, VI 00802
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Other Identifiers 2

Medicare ID-Type Unspecified0080268
Medicare UPINF53921

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott L Hartshorn 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 ID8123917903
PECOS Enrollment IDI20040311000206
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.

Medicare Billing Reassignment

Medicare enrollment records show Scott Hartshorn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Red Hook Family Practice P.C.
5.9 mi
Family Medicine
6500 RED HOOK PLZ, SUITE 205
St Thomas, VI 00802
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 15 clinicians in this Medicare group
NPI 1972666097 (340) 775-2303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

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.
428 services291 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.
292 services227 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
89 services25 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
51 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services37 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Roy Lester Schneider Hospital,the

Acute Care Hospitals · St Thomas, VI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number480001
Location9048 Sugar EstateSt Thomas, VI 00801 · Saint Thomas Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00802 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

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.

86.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.46
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
93%230 patients4/55-star benchmark: 100%
Breast Cancer Screening
44%368 patients2/55-star benchmark: 93%
Cervical Cancer Screening
6%505 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
29%986 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
78%578 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%181 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
58%181 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
2%2,400 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%626 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%1,722 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,618 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
43%1,491 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 1,046 patients
Patients screened: 89% · 1,046 patients
14%94 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 647 patients
Patients totalRate: 11% · 666 patients
9%666 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers25 claims80 services$5.36 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 2

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

JUDITH WHITLEY MSN, FNP
Nurse Practitioner (Family)
9149 ESTATE THOMAS STE 203
ST THOMAS, VI 00802
St. Thomas Island (340) 776-8989
MISS BRANDY HIGGINBOTHAM LMT
Massage Therapist
9149 ESTATE THOMAS STE 203
ST THOMAS, VI 00802
St. Thomas Island (403) 690-4994

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 Hartshorn's NPI number?

The NPI number for Scott Hartshorn is 1730269325. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Scott Hartshorn located?

Scott Hartshorn practices at 9149 Estate Thomas Ste 203, St Thomas, VI 00802. The listed phone number is (340) 776-8989.

What is Scott Hartshorn's specialty?

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

Is Scott Hartshorn enrolled in Medicare?

Yes. Scott Hartshorn 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.

Which organization bills Medicare for Scott Hartshorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Hartshorn reassigns Medicare benefits to Red Hook Family Practice P.C. (St Thomas, VI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Hartshorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Scott Hartshorn affiliated with any hospitals?

According to CMS data, Scott Hartshorn is affiliated with Roy Lester Schneider Hospital,the.

When was this NPI record last updated?

The NPPES record for Scott Hartshorn 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.