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SCOTT C. VAN GORDER D.O.
NPI 1790892644
Family Medicine in Oswego, NY

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
10 GEORGE ST, OSWEGO, NY 13126(315) 342-0888(315) 343-4663 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Scott C. Van Gorder D.o. NPPES

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

SCOTT C. VAN GORDER D.O. (NPI 1790892644) is an individual family medicine provider in Oswego, New York, licensed in New York (213595) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1997).

NPPES Registry Identity

NPI1790892644
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT C. VAN GORDERCredential: D.O.
Location Address10 GEORGE STOswego, NY 13126-3276
Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6564 · Fax (315) 298-7831
Phone(315) 342-0888
Fax(315) 343-4663
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1997
Enumeration DateAugust 24, 2006
Last NPPES UpdateMay 22, 2013
✔ NPI 1790892644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 213595
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.
10 GEORGE ST, Oswego, NY 13126
Open in Google Maps ↗

Other Identifiers 3

Medicaid02081198NY
Medicare UPINH13108NY
Medicare ID-Type UnspecifiedBB9996NY

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 C. Van Gorder 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 ID345385613
PECOS Enrollment IDI20100311000340
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
48 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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
6 suppliers19 claims38 services$5.15 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$910.69 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers21 claims5,250 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers21 claims21 services$22.38 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 9

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

SUSAN P. NALLE N.P.
Nurse Practitioner (Adult Health)
10 GEORGE ST
OSWEGO, NY 13126
Oswego County (315) 342-0888
TERRY C SALMONSEN N.P.
Nurse Practitioner (Family)
10 GEORGE ST
OSWEGO, NY 13126
Oswego County (315) 598-4790
DR. MARGARET A SENNETT M.D.
Internal Medicine
10 GEORGE ST
OSWEGO, NY 13126
Oswego County (315) 342-0888
GREAT LAKES DENTAL SERVICES, PC
Dentist
10 GEORGE ST
OSWEGO, NY 13126
Oswego County (315) 343-1612
MR. CURTIS CHARLES LIEBER P.A.
Physician Assistant (Medical)
10 GEORGE ST
OSWEGO, NY 13126
Oswego County (315) 598-4790
JOY E. DOLORICO-MAGSINO M.D.
Internal Medicine
10 GEORGE ST
OSWEGO, NY 13126
Oswego County (315) 342-0888
COLLEEN MARY KRUG P.A.
Physician Assistant
10 GEORGE ST
OSWEGO, NY 13126
Oswego County (315) 598-4790
JOSEPH WILLIAM NIMEH MD
Pediatrics
10 GEORGE ST
OSWEGO, NY 13126
Oswego County (315) 342-0880

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 Van Gorder's NPI number?

The NPI number for Scott Van Gorder is 1790892644. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Scott Van Gorder located?

Scott Van Gorder practices at 10 George St, Oswego, NY 13126. The listed phone number is (315) 342-0888.

What is Scott Van Gorder's specialty?

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

Is Scott Van Gorder enrolled in Medicare?

Yes. Scott Van Gorder 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.

Is Scott Van Gorder affiliated with any hospitals?

According to CMS data, Scott Van Gorder is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Scott Van Gorder was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.