MR. SCOTT ANDREW LIZOTTE
NPI 1740725670
Nurse Practitioner - Family in Pomona, CA

Active since January 02, 2017PECOS EnrolledAccepts Medicare Assignment
255 E BONITA AVE, POMONA, CA 91767(909) 643-2980 Get Directions Write a Review

NPPES record last updated: January 2, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Scott Andrew Lizotte NPPES

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

MR. SCOTT ANDREW LIZOTTE (NPI 1740725670) is an individual family provider in Pomona, California, licensed in California (743872) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1740725670
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SCOTT ANDREW LIZOTTE
Location Address255 E BONITA AVEPomona, CA 91767-1923
Mailing Address255 E Bonita AvePomona, CA 91767-1923 · (909) 643-2980
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 2, 2017
NPI 1740725670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 743872
255 E BONITA AVE, Pomona, CA 91767

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

Mr. Scott Andrew Lizotte 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 ID6305117490
PECOS Enrollment IDI20170808002383
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 2

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.
74 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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
255 E BONITA AVE
POMONA, CA 91767
Nurse Practitioner
255 E BONITA AVE
POMONA, CA 91767
Internal Medicine (Infectious Disease)
255 E BONITA AVE
POMONA, CA 91767
Occupational Therapist (Physical Rehabilitation)
255 E BONITA AVE
POMONA, CA 91767
Specialist/Technologist (Athletic Trainer)
255 E BONITA AVE
POMONA, CA 91767
Occupational Therapist
255 E BONITA AVE
POMONA, CA 91767
Dietitian, Registered
255 E BONITA AVE, 2ND FLOOR, SUITE 200
POMONA, CA 91767
Physical Therapist (Neurology)
255 E BONITA AVE
POMONA, CA 91767

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 Lizotte's NPI number?

The NPI number for Scott Lizotte is 1740725670. It was assigned to this individual provider in the NPPES registry on January 2, 2017.

Where is Scott Lizotte located?

Scott Lizotte practices at 255 E Bonita Ave, Pomona, CA 91767. The listed phone number is (909) 643-2980.

What is Scott Lizotte's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Scott Lizotte enrolled in Medicare?

Yes. Scott Lizotte 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.

When was this NPI record last updated?

The NPPES record for Scott Lizotte was last updated on January 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.