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SCOTT W CLITHEROE MD
NPI 1740204395
Hospitalist in Austin, TX

Active since July 27, 2006Opted out of Medicare · through Apr 1, 2028
72.52/100
CMS Quality Rating
11211 TAYLOR DRAPER LN, STE 202, AUSTIN, TX 78759(512) 674-9021(512) 342-9949 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott W Clitheroe Md NPPES

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

SCOTT W CLITHEROE MD (NPI 1740204395) is an individual hospitalist provider in Austin, Texas, licensed in Texas (J4048) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740204395
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSCOTT W CLITHEROECredential: MD
Location Address11211 TAYLOR DRAPER LN, STE 202Austin, TX 78759-3916
Mailing Address9708 Rainlilly LnAustin, TX 78759-7701 · (512) 658-6018
Phone(512) 674-9021
Fax(512) 342-9949
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1740204395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · J4048
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License J4048 (TX)
11211 TAYLOR DRAPER LN, Austin, TX 78759
Open in Google Maps ↗

Other Identifiers 1

Other110171906Retired Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Scott W Clitheroe Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Other Providers at the Same Location NPPES 11

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

JENNIFER ANN FORSBERG PHD
Psychologist (Clinical)
11211 TAYLOR DRAPER LN, STE 202
AUSTIN, TX 78759
Travis County (572) 343-8850
CHARLES CLIFTON MOORE PHD
Psychologist (Clinical)
11211 TAYLOR DRAPER LN, SUITE 202
AUSTIN, TX 78759
Travis County (512) 343-8850
BEHAVIORAL HEALTH CONSULTANTS
Psychologist
11211 TAYLOR DRAPER LN, SUITE 202
AUSTIN, TX 78759
Travis County (512) 343-8850
DR. SUSIE KAISER POSEY PSY.D.
Psychologist (Clinical)
11211 TAYLOR DRAPER LN, SUITE 202
AUSTIN, TX 78759
Travis County (512) 343-8850
AARON ROCHLEN PHD
Psychologist (Counseling)
11211 TAYLOR DRAPER LN, SUITE 202
AUSTIN, TX 78759
Travis County (512) 343-8850
AUSTIN HOSPITAL PHYSICIANS PA
Internal Medicine
11211 TAYLOR DRAPER LN, STE 202
AUSTIN, TX 78759
Travis County (512) 674-9021
DR. SCOTT LEE WORSHAM PH.D., M.ED.
Psychologist
11211 TAYLOR DRAPER LN, SUITE 202
AUSTIN, TX 78759
Travis County (512) 343-8850
BERRIL R JOSEPH
Nurse Practitioner (Gerontology)
11211 TAYLOR DRAPER LN, STE 202
AUSTIN, TX 78759
Travis County (512) 674-9010

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 Clitheroe's NPI number?

The NPI number for Scott Clitheroe is 1740204395. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Scott Clitheroe located?

Scott Clitheroe practices at 11211 Taylor Draper Ln Ste 202, Austin, TX 78759. The listed phone number is (512) 674-9021.

What is Scott Clitheroe's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Scott Clitheroe enrolled in Medicare?

No. Scott Clitheroe has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Scott Clitheroe accept?

Health plans from Blue Cross and Blue Shield of Texas, Medica, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Scott Clitheroe 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.

When was this NPI record last updated?

The NPPES record for Scott Clitheroe was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.